Colah, Jessy
Colah, Jessy is an sole proprietor health care provider with primary practice located at 812 Bonnie Dr , Baldwin NY 11510-4521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Colah, Jessy can be contacted via phone (718) 753-4585.Contact Information
Primary practice address
812 Bonnie Dr
Baldwin NY 11510-4521
Phone: (718) 753-4585
Fax: (718) 540-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 167666 | New York |
Profile Details
| NPI number | 1336181866 |
|---|---|
| LBN Legal business name | Colah, Jessy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jul 17th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336181866 | NPPES |
| New York | MEDICAID | 01889990 |
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