Organization
EXTEND CARE FAMILY HEALTH NP PLLC
Active
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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