Individual provider · NPI-1

Dr. Paul Nicholas Colavito, D.D.S

Dentist, General Practice · Middletown, NY

NPI number1457427684
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457427684
Entity type
Individual (NPI-1)
Name
Dr. Paul Nicholas Colavito
Credential
D.D.S
Sex
Male
Sole proprietor
No
Enumeration date
Nov 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0218231NYYes

Practice location

400 Midway Park Dr
Middletown, NY 10940-2656

Phone 845-344-4336 · Fax 845-344-4347

Mailing address

400 Midway Park Dr
Middletown, NY 10940-2656

Phone 845-344-4336 · Fax 845-344-4347

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