Individual
JESSY COLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 BONNIE DR, BALDWIN, NY 11510-4521
(718) 753-4585
(718) 540-6243
Mailing address
PO BOX 161, BALDWIN, NY 11510-0161
(718) 753-4585
(718) 540-6243
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
167666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01889990
—
NY
Enumeration date
06/11/2006
Last updated
07/09/2025
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