Individual
MRS. KIMBERLY A COLANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(516) 993-3853
Mailing address
432 SUNRISE HWY, APT. 21, WEST BABYLON, NY 11704-5916
(516) 993-3853
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305474-1
NY
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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