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Individual

CHERYL CORINNE COLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
52 MAIN ST, KINGSTON, NY 12401-3828
(845) 338-1700
(845) 338-9831
Mailing address
52 MAIN ST, KINGSTON, NY 12401-3828
(845) 338-1700
(845) 338-9831

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198464
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
696261
MVP
Enumeration date
10/25/2006
Last updated
07/08/2007
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