Colon, Ivan
Colon, Ivan is an sole proprietor health care provider with primary practice located at 175 Remsen St Ste 1225 , Brooklyn NY 11201-4320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Colon, Ivan can be contacted via phone (631) 751-3000.Contact Information
Primary practice address
175 Remsen St Ste 1225
Brooklyn NY 11201-4320
Phone: (631) 751-3000
Fax: (631) 509-6559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 207895 | New York |
Profile Details
| NPI number | 1366446825 |
|---|---|
| LBN Legal business name | Colon, Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Aug 20th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366446825 | NPPES |
| New York | MEDICAID | 00280160 |
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