Individual
CARA ANNE KOLEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 MADISON AVE STE 1005, NEW YORK, NY 10022-2511
(212) 369-6757
Mailing address
5952 56TH DR, MASPETH, NY 11378-2334
(718) 326-1294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404695
NY
Other
Enumeration date
02/06/2023
Last updated
02/08/2024
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