Individual
MRS. COLLEEN MARIE DEPAOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
113 GREAVES AVE, STATEN ISLAND, NY 10308-2100
(347) 306-7922
Mailing address
113 GREAVES AVE, STATEN ISLAND, NY 10308-2100
(347) 306-7922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340354-1
NY
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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