Individual
AMBER COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BENCHLEY PL APT 8K, BRONX, NY 10475-3470
(347) 415-9719
Mailing address
59 COLONY LN, ROSLYN HEIGHTS, NY 11577-2218
(347) 415-9719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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