NPI | 1669501227 |
---|---|
Doing Business As | AUGUSTUS DUNSEITH COLEY |
Entity Type | Organization |
Authorized Contact | AUGUSTUS DUNSEITH COLEY Medical Doctor 718-774-6758 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 121097) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |