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Individual
ANTONIO ALVARAS COLACO
Active
Individual
ANTONIO ALVARAS COLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016235
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03539219
—
NY
Enumeration date
01/21/2013
Last updated
08/06/2020
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