Individual
ERICA LEE COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
81 LAKEWOOD DR, CONGERS, NY 10920-1757
(508) 498-5516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 016585
NY
Other
Enumeration date
07/18/2013
Last updated
11/23/2016
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