Individual
COLIN PATRICK MEAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
286 STAGE RD, CHARLTON, NY 12019-2618
(518) 399-2101
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA017727
NY
363A00000X
Physician Assistant
PA55168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03927873
—
NY
Enumeration date
07/25/2014
Last updated
08/22/2024
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