Colucci, Mylene
Colucci, Mylene is an individual health care provider with primary practice located at 3 School St Suite 303, Glen Cove NY 11542-2548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Colucci, Mylene can be contacted via phone (516) 676-2878.Contact Information
Primary practice address
3 School St Suite 303
Glen Cove NY 11542-2548
Phone: (516) 676-2878
Fax: (516) 674-2256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME162038 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 226904 | New York |
Profile Details
| NPI number | 1790909885 |
|---|---|
| LBN Legal business name | Colucci, Mylene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 14th, 2024 - about 8 months 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 | 1790909885 | NPPES |
| New York | Other | 226904 | LICENSE |
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