Organization
EXTEND CARE FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DANIEL COLINO DNP (OWNER)
(315) 724-6144
Entity
Organization
Contact information
Practice address
101 HERKIMER RD, UTICA, NY 13502
(315) 724-6144
(315) 724-3978
Mailing address
101 HERKIMER RD, UTICA, NY 13502-2311
(315) 724-6144
(315) 724-3978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335944
NY
Other
Enumeration date
01/03/2012
Last updated
03/20/2019
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