Collado, Damaris

Collado, Damaris is an individual health care provider with primary practice located at 9320 A Roosevelt Ave , Jackson Heights NY 11372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Collado, Damaris can be contacted via phone (718) 334-6793.

Contact Information

Primary practice address
9320 A Roosevelt Ave Jackson Heights NY 11372
Phone: (718) 334-6793
Fax: (718) 334-6717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 00005580 New York

Profile Details

NPI number 1649414343
LBN Legal business name Collado, Damaris
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2009
Last updated Apr 24th, 2009 - about 16 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 1649414343 NPPES
New York MEDICAID 02044764

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