Defalco, Colleen Mary

Defalco, Colleen Mary is an individual health care provider with primary practice located at Va Medical Center, Dept Of Gastroenterology 79 Middleville Road, Northport NY 11768-2290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Defalco, Colleen Mary can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
Va Medical Center, Dept Of Gastroenterology 79 Middleville Road Northport NY 11768-2290
Phone: (631) 261-4400
Fax: (631) 486-6113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300698-1 New York

Profile Details

NPI number 1306043351
LBN Legal business name Defalco, Colleen Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 2nd, 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.

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