Provider Demographics
NPI:1184054868
Name:COLEMAN, STEPHEN WILLIAM (DPT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:COLEMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-1076
Mailing Address - Country:US
Mailing Address - Phone:585-582-0034
Mailing Address - Fax:585-582-0026
Practice Address - Street 1:58 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1076
Practice Address - Country:US
Practice Address - Phone:585-582-0034
Practice Address - Fax:585-582-0026
Is Sole Proprietor?:No
Enumeration Date:2013-11-18
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037250225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist