Colgan, Deirdre

Colgan, Deirdre is an individual health care provider with primary practice located at 1200 Driving Park Avenue Po Box 111, Newark NY 14513-1090. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Colgan, Deirdre can be contacted via phone (315) 359-2557.

Contact Information

Primary practice address
1200 Driving Park Avenue Po Box 111 Newark NY 14513-1090
Phone: (315) 359-2557
Fax: (315) 359-2248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 269623 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 269623 New York

Profile Details

NPI number 1063654135
LBN Legal business name Colgan, Deirdre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2009
Last updated Jan 27th, 2022 - about 3 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 1063654135 NPPES
New York MEDICAID 04464600

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