Individual
ANTONIO V COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7119 80TH ST STE 8210, GLENDALE, NY 11385-7733
(718) 554-6610
Mailing address
68 EVANS AVE, ALBERTSON, NY 11507-1827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041974
NY
Other
Enumeration date
11/08/2017
Last updated
06/04/2019
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