Individual
MRS. HEATHER COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11 ORCHARD ST, PORT JERVIS, NY 12771-2027
(845) 672-3995
Mailing address
11 ORCHARD ST, PORT JERVIS, NY 12771-2027
(845) 672-3995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347558
NY
Other
Enumeration date
04/10/2021
Last updated
12/01/2021
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