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Individual

JAMES JOSEPH COLAMARIA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NPP

Contact information

Practice address
38 HEMLOCK DR, GREENFIELD CENTER, NY 12833-1212
(518) 587-5403
(518) 587-1878
Mailing address
38 HEMLOCK DR, GREENFIELD CENTER, NY 12833-1212
(518) 587-5403
(518) 587-1878

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401161-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F401161-1
F401161-1
NY
Enumeration date
09/26/2008
Last updated
09/26/2008
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