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NPI Code Detail

MEDICARE: ANA E COLLADO NP

MEDICARE:   ANA E COLLADO  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner348039NY

General Provider Information

NPI Number : 1891460838
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA E COLLADO NP
Provider Business Mailing Address
First Line : 255 HUGUENOT ST APT 1014
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-6396
Country : US
Telephone Number : 347-851-9350
Fax Number :
Provider Business Practice Location Address
First Line : 255 HUGUENOT ST APT 1014
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-6396
Country : US
Telephone Number : 347-851-9350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2021
Last Update Date : 08/11/2021

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