Individual
MR. JOHN MICHAEL COLAVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(203) 727-8194
Mailing address
320 E 34TH ST APT 4D, NEW YORK, NY 10016-4958
(203) 727-8194
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
319728-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
05/08/2023
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