Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 205855 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 205855 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 205855 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 205855 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 205855 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 205855 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 205855 | NY |
NPI | 1740366525 |
---|---|
Provider Name | Struan Coleman |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 28/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H74142 | (02) | NY |