Individual
MR. ABRAHAM COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
4729 44TH ST APT 2F, WOODSIDE, NY 11377-6316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014345
NY
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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