Individual
MS. DARA NICOLE COLASURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-4526
Mailing address
26 TANNERS BROOK RD, CHESTER, NJ 07930-2032
(973) 219-7150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016005-1
NY
Other
Enumeration date
10/09/2012
Last updated
08/10/2022
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