Colasacco, Joseph

Colasacco, Joseph is an sole proprietor health care provider with primary practice located at 134-20 Jamaica Avenue , Jamaica NY 11418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Colasacco, Joseph can be contacted via phone (631) 391-7887.

Contact Information

Primary practice address
134-20 Jamaica Avenue Jamaica NY 11418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 185378 New York

Profile Details

NPI number 1548346406
LBN Legal business name Colasacco, Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 20th, 2010 - about 14 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 1548346406 NPPES
New York MEDICAID 01549839

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