Individual
MRS. COLLEEN M WOJCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
91 PERIMETER RD STE 120, ROME, NY 13441-4018
(315) 337-0539
(315) 337-0645
Mailing address
1617 N JAMES ST, STE 400, ROME, NY 13440
(315) 337-0539
(315) 337-0645
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329142
—
NY
01
—
040212601448
FIDELIS
—
01
—
392162
MVP
NY
Enumeration date
10/28/2005
Last updated
01/26/2021
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