Individual
DR. MICHELE SUMMERS COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
180 OLD LOUDON RD, LATHAM, NY 12110-3905
(518) 608-4587
(518) 608-4768
Mailing address
33 CORNELL AVE, RED HOOK, NY 12571-1000
(626) 315-5434
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N007219
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
E4053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E40530
—
CA
01
—
990005019
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
11/04/2024
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