Colasacco, James A

Colasacco, James A is an individual health care provider with primary practice located at 129 Broadway , Amityville NY 11701-2729. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colasacco, James A can be contacted via phone (631) 598-3434.

Contact Information

Primary practice address
129 Broadway Amityville NY 11701-2729
Phone: (631) 598-3434
Fax: (631) 598-4723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 196657 New York

Profile Details

NPI number 1568411353
LBN Legal business name Colasacco, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 15th, 2022 - about 2 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 1568411353 NPPES
New York MEDICAID 01760172

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