Individual
DR. LUCIA COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
242 SLOSSON AVE, STATEN ISLAND, NY 10314-2533
(718) 815-1223
(718) 815-4372
Mailing address
242 SLOSSON AVE, STATEN ISLAND, NY 10314-2533
(718) 815-1223
(718) 815-4372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803491
GHI
NY
01
—
X0141
EPMIRE BLUE CROSS BLUE SH
NY
Enumeration date
04/12/2007
Last updated
07/08/2007
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