Pamela Colonna
Specialist in Hicksville, NY. Individual provider (NPI-1).
NPI number1649917907
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1649917907
- Entity type
- Individual (NPI-1)
- Name
- Pamela Colonna
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2022
- Certification date
- May 16, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
950 S Oyster Bay RdHicksville, NY 11801-3510
Phone 516-822-6111
Mailing address
950 S Oyster Bay RdHicksville, NY 11801-3510
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All 47 Specialist providers in Hicksville · All 1,866 providers in Hicksville
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