Provider Demographics
NPI:1811162845
Name:COLMAN, JENNY MEYER (MD)
Entity type:Individual
Prefix:DR
First Name:JENNY
Middle Name:MEYER
Last Name:COLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 MAIN ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3504
Mailing Address - Country:US
Mailing Address - Phone:845-896-5400
Mailing Address - Fax:
Practice Address - Street 1:1081 MAIN ST
Practice Address - Street 2:SUITE G
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3504
Practice Address - Country:US
Practice Address - Phone:845-896-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2142802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH67835Medicare UPIN