Individual
MOLLY LYNNE COOLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 SENECA ST STE 4, ONEIDA, NY 13421-2743
(315) 363-1345
(315) 363-9243
Mailing address
6111 DUNBARTON RD, DURHAMVILLE, NY 13054-3197
(315) 832-8649
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
030994
NY
Other
Enumeration date
06/28/2022
Last updated
08/21/2024
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