Individual
EMILY MARIE COLUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 264-9000
Mailing address
11835 RT 9W, WEST COXSACKIE, NY 12192-3605
(518) 264-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025489-01
NY
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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