Individual
MICHAEL E COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 W MAIN STREET, ENDICOTT, NY 13760
(607) 754-4245
(607) 754-1655
Mailing address
524 W MAIN STREET, ENDICOTT, NY 13760
(607) 748-0475
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
097827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00634139
—
NY
Enumeration date
08/27/2006
Last updated
07/08/2007
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