Colaco, Antonio Alvaras

Colaco, Antonio Alvaras is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Colaco, Antonio Alvaras can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
95 Crystal Run Rd Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 016235 New York

Profile Details

NPI number 1356689657
LBN Legal business name Colaco, Antonio Alvaras
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Aug 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356689657 NPPES
New York MEDICAID 03539219

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