National Provider Identifier
Coleman Pettway Jr.
Coleman Pettway Jr. is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (516) 592-8452.
Profile Overview
- NPI
- 1588269989
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- December 02, 2020
- Last Updated
- December 02, 2020
Practice Location
- 89 Butler Ave
- Buffalo, NY 14208-1517
Phone: (516) 592-8452
Mailing Address
- PO Box 641
- Buffalo, NY 14215-0641
Specialties
- Social Worker (104100000X)
Endpoints
- C.Pettway@gmail.com
Connect Url | Direct | Buffalo, NY 14208
Professional Email
Full Record
- NPI
- 1588269989
- Entity Type
- Individual
- Last Name
- Pettway
- First Name
- Coleman
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Mailing Street Address
- PO Box 641
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-0641
- Mailing Country
- US
- Mailing Phone
- (516) 592-8452
- Practice Street Address
- 89 Butler Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1517
- Practice Country
- US
- Practice Phone
- (516) 592-8452
- Enumeration Date
- December 02, 2020
- Last Updated
- December 02, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)