Individual
MRS. TARA COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8502 4TH AVE, BROOKLYN, NY 11209-4608
(718) 745-6363
Mailing address
8502 4TH AVE, BROOKLYN, NY 11209-4608
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
003212-01
NY
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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