Individual
MS. GAIL K COLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4811 BUCKLEY ROAD, LIVERPOOL, NY 13088
(315) 457-9966
(315) 457-9854
Mailing address
4811 BUCKLEY ROAD, LIVERPOOL, NY 13088
(315) 457-9966
(315) 457-9854
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02817187
—
NY
Enumeration date
08/17/2006
Last updated
01/23/2009
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