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Individual

LINH K COLEGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
141 SULLYS TRL STE 11, PITTSFORD, NY 14534-4563
(585) 381-5800
(585) 348-9461
Mailing address
141 SULLYS TRL STE 11, PITTSFORD, NY 14534-4563
(585) 381-5800
(585) 348-9461

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F3433775-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F343375-1
NP LICENSE
NY
Enumeration date
04/03/2019
Last updated
04/03/2019
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