Individual
KOLO NICHOLAS EDIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
68 HARRIS BUSHVILLE ROAD, MONTICELLO, NY 12701
(845) 794-5335
(845) 791-4136
Mailing address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742
(845) 794-9864
(845) 794-9868
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
220907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02155622
—
NY
Enumeration date
07/29/2005
Last updated
05/13/2016
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