Coluccio, Nicole D

Coluccio, Nicole D is an individual health care provider with primary practice located at 1365 Washington Ave Suite 201, Albany NY 12206-1068. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Coluccio, Nicole D can be contacted via phone (518) 489-4446.

Contact Information

Primary practice address
1365 Washington Ave Suite 201 Albany NY 12206-1068
Phone: (518) 489-4446
Fax: (518) 489-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 232155 New York

Profile Details

NPI number 1760446744
LBN Legal business name Coluccio, Nicole D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 31st, 2012 - about 12 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 1760446744 NPPES
New York Other 10087875 CDPHP PROVIDER #
New York Other P00294582 CDPHP PROVIDER #
New York Other 782072 CDPHP PROVIDER #

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