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Individual

MR. ERIC E COLAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, ANP-BC, GNP

Contact information

Practice address
170 WILLIAM ST, G LEVEL RM 14, NEW YORK, NY 10038-2612
(212) 312-5000
Mailing address
170 WILLIAM ST, G LEVEL RM 14, NEW YORK, NY 10038-2612
(212) 312-5000

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
34 340808
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
30 305708
NY

Other

Enumeration date
11/03/2011
Last updated
07/06/2015
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