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Individual

CANDICE COLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22404 146TH AVE, SPRINGFIELD GARDENS, NY 11413-3811
(718) 468-6923
Mailing address
22404 146TH AVE, SPRINGFIELD GARDENS, NY 11413-3811
(718) 468-6923

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
648407
NY

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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