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.
Source: public NPPES record, last updated December 02, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Coleman Pettway is a Buffalo, New York-based social worker. Available public records do not show a reliable official profile with training, health-system affiliation, certification, faculty, research, or leadership details, so no additional professional background is included here without stronger sourcing.
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
- Taxonomies
- Social Worker (104100000X)