Individual
GENESIS M COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31383 TOWN LINE RD, PHILADELPHIA, NY 13673-2173
(315) 921-3475
Mailing address
31383 TOWN LINE RD, PHILADELPHIA, NY 13673-2173
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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