Individual
MRS. MINU K COLACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009332
NY
Other
Enumeration date
03/19/2007
Last updated
08/06/2020
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