Individual
LILITH COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5580
Mailing address
128 E CHESTER ST, LONG BEACH, NY 11561-2127
(516) 830-7245
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430593-1
NY
Other
Enumeration date
08/26/2011
Last updated
08/10/2022
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