Individual
BENJAMIN JOE KOLLOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 CLOVE ROAD, STATEN ISLAND, NY 10304-1616
(718) 273-2929
(718) 876-9179
Mailing address
1 EMERSON DR, STATEN ISLAND, NY 10304-1508
(718) 273-2929
(718) 816-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
133887
NY
Other
Enumeration date
09/25/2006
Last updated
06/02/2012
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