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General NPI Number Information
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NPI Number | 1356989719
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Entity Type | Individual
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Provider Name | ROSE MARIE ELIZABETH COLEMAN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 50 MC KENDRICK RD
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City | WALLKILL
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State | NY
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Zip | 12589-3731
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Country | US
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Telephone | 845-895-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 94 LINCOLNDALE ACRES
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1046
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Country | US
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Telephone | 845-313-6927
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 405240
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F344989-01
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License Number State | NY
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