Individual
DR. LUCY KOLLOORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 BRIELLE AVE, STATEN ISLAND, NY 10314-6427
(718) 317-3267
Mailing address
1 EMERSON DR, STATEN ISLAND, NY 10304-1508
(718) 816-6520
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
161292
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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