Individual
DONNA COLLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5225 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2053
(631) 509-1888
Mailing address
5225 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004568
NY
Other
Enumeration date
01/16/2007
Last updated
09/25/2024
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