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Individual

DR. GARY J COLANTROPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924
Mailing address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
172322-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01192034
NY
01
172322-0 CAN
WORKERS COMPENSATION
NY
01
GC057F2810
BLUE CROSS CLUE SHIELD
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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