Individual
JULIE Y COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 MEDICAL CENTER DR, SUITE 101AB, FAYETTEVILLE, NY 13066-6610
(315) 637-7878
(315) 744-1902
Mailing address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
(315) 637-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180252
—
NY
Enumeration date
03/28/2006
Last updated
05/07/2023
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