Individual
CYNTHIA MARIA-FRANCESCA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 683-8999
Mailing address
PO BOX 174, BELLPORT, NY 11713-0174
(347) 256-9207
(934) 451-3073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
363AM0700X
Medical Physician Assistant
—
NY
363AS0400X
Surgical Physician Assistant
—
NY
Other
Enumeration date
05/20/2024
Last updated
08/13/2025
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