Provider Demographics
NPI:1164655833
Name:COLEMAN, CHRISTINE (CPNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:MARIE
Other - Last Name:HOBAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:F677
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-0205
Mailing Address - Fax:212-746-8373
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:F677
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-0205
Practice Address - Fax:212-746-8373
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381970363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics