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Individual

DR. IVAN COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
175 REMSEN ST STE 1225, BROOKLYN, NY 11201-4320
(631) 751-3000
(631) 509-6559
Mailing address
175 REMSEN ST, FL 12, BROOKLYN, NY 11201-4333
(718) 696-0186
(718) 696-0185

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
207895
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00280160
NY
Enumeration date
06/11/2005
Last updated
08/20/2019
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