Organization
SOUTH SHORE MEDICAL CARE &DIAGNOSTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA S COLADNER DO (PRESIDENT)
(631) 737-5143
Entity
Organization
Contact information
Practice address
4250 VETERANS MEMORIAL HWY, SUITE 1020, HOLBROOK, NY 11741-4000
(631) 737-5143
(631) 737-5224
Mailing address
4250 VETERANS MEMORIAL HWY, SUITE 1020, HOLBROOK, NY 11741-4000
(631) 737-5143
(631) 737-5224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
C09215
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1867861
NY
208100000X
Physical Medicine & Rehabilitation Physician
2192491
NY
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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