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Individual

MRS. JUDY PATRICIA COLESBAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
56 DELAWARE AVE, FREEPORT, NY 11520-2028
(516) 623-0781
(516) 623-0781
Mailing address
56 DELAWARE AVE, FREEPORT, NY 11520-2028
(516) 623-0781
(516) 623-0781

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
F401031
NY
163WC1500X
Community Health Registered Nurse
F401031
NY
305R00000X
Preferred Provider Organization
Primary
F401031
NY

Other

Enumeration date
04/24/2010
Last updated
08/09/2013
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