Individual
MARIA THERESE COLANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, MEDICAL SVCS - 111, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 544-5315
Mailing address
158 10TH AVE, HOLTSVILLE, NY 11742-2357
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304400
NY
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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