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Individual
AMY WILCOX COLGAN
Active
Individual
AMY WILCOX COLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
644816
NY
163W00000X
Registered Nurse
644816-1
NY
163WC0400X
Case Management Registered Nurse
644816
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
644816
NY
Other
Enumeration date
01/01/2014
Last updated
11/25/2014
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