Individual
MR. ANTHONY R COLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
146 PIKE ST, PORT JERVIS, NY 12771-1808
(845) 858-1456
(845) 378-3283
Mailing address
17 WEST ST, GOSHEN, NY 10924-1853
(845) 645-2625
(949) 399-6005
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403616
NY
Other
Enumeration date
06/08/2021
Last updated
04/01/2026
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