Individual
MS. AILEEN S COLUNIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 846-2199
(607) 846-2020
Mailing address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 846-2199
(607) 846-2020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
F3200391
NY
363L00000X
Nurse Practitioner
Primary
289746
NY
363L00000X
Nurse Practitioner
SP009001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743171
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039832
MEDICARE GROUP
PA
01
—
P00299300
RR MEDICARE PIN
PA
Enumeration date
08/25/2005
Last updated
04/03/2012
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