Individual
AGNES COLANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES, NEW YORK, NY 10065-6007
(212) 639-3301
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6255
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD437149
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P70371
NY
Other
Enumeration date
01/21/2011
Last updated
05/16/2017
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