Organization
MICHAEL J COLLURA, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN BECKFORD (OFFICE MANAGER)
(212) 980-7857
Entity
Organization
Contact information
Practice address
57 W 57TH ST, SUITE 1207, NEW YORK, NY 10019-2802
(212) 980-7857
(212) 980-7887
Mailing address
57 W 57TH ST, SUITE 1207, NEW YORK, NY 10019-2802
(212) 980-7857
(212) 980-7887
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
049501-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02579808
—
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
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