Individual
ANDREA COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(914) 263-6320
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(914) 263-6320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011378
NY
Other
Enumeration date
02/08/2007
Last updated
03/23/2013
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