Individual
DR. DEBRA ANNE KOLOMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1815 STATE ST, WATERTOWN, NY 13601-9406
(315) 788-6070
(315) 788-1950
Mailing address
1815 STATE ST, WATERTOWN, NY 13601-9406
(315) 788-6070
(315) 788-1950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
206048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753204
—
NY
Enumeration date
05/11/2006
Last updated
07/08/2007
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