Provider Demographics
NPI:1780951202
Name:COLEMAN, JOANNA M
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:M
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:COSCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 BELLE TERRE RD.
Mailing Address - Street 2:SUITE J4 EAR WORKS, P.C.
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777
Mailing Address - Country:US
Mailing Address - Phone:631-928-4599
Mailing Address - Fax:561-598-7231
Practice Address - Street 1:640 BELLE TERRE RD.
Practice Address - Street 2:SUITE J4 EAR WORKS AUDIOLOGY
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777
Practice Address - Country:US
Practice Address - Phone:631-928-4599
Practice Address - Fax:718-323-1134
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237700000X
NY14000034148237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist