Individual
AMIJET KOLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
141 BEACON AVE, STATEN ISLAND, STATEN ISLAND, NY 10306-1324
(718) 915-7238
Mailing address
141 BEACON AVE, STATEN ISLAND, STATEN ISLAND, NY 10306-1324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015036
NY
Other
Enumeration date
10/23/2011
Last updated
10/23/2011
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