Individual
DR. COLLEEN MATURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 YORK AVE FL 11, NEW YORK, NY 10021-5663
(646) 962-2020
(646) 962-0602
Mailing address
1305 YORK AVE FL 11, NEW YORK, NY 10021-5663
(646) 962-2020
(646) 962-0602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA11374900
NJ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
298933-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2015
Last updated
11/27/2024
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