Individual
MR. JOSEPH PATRICK COLAGRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1230 YORK AVE, NEW YORK, NY 10065-6307
(917) 821-1763
Mailing address
PO BOX 231385, NEW YORK, NY 10023-0024
(917) 821-1763
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
267499
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
300649
NY
Other
Enumeration date
10/03/2006
Last updated
06/10/2019
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