Woodley, Colleen

Woodley, Colleen is an individual health care provider with primary practice located at 8900 Van Wyck Expy Jhmc Er, Jamaica NY 11418-2897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Woodley, Colleen can be contacted via phone (718) 206-6000.

Contact Information

Primary practice address
8900 Van Wyck Expy Jhmc Er Jamaica NY 11418-2897
Phone: (718) 206-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008086 New York

Profile Details

NPI number 1528119229
LBN Legal business name Woodley, Colleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 6th, 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 1528119229 NPPES
New York MEDICAID 02239132

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