Individual
MICHELLE KOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 BROADWAY, SUITE 600, NEW YORK, NY 10010-6004
(212) 475-8066
(212) 475-8487
Mailing address
PO BOX 9467, UNIONDALE, NY 11555-9467
(212) 475-8066
(212) 475-8487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F305073
NY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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