Individual
ELIJAH COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6466
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-8411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
032167
NY
363A00000X
Physician Assistant
Primary
032167
NY
363AM0700X
Medical Physician Assistant
032167
NY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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