Individual
ALICE KOLASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
445 NEW KARNER RD, ALBANY, NY 12205-3809
(518) 285-8150
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
225349
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
225349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664551
—
NY
Enumeration date
08/04/2006
Last updated
05/14/2021
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