Individual provider · Type 1 NPI

Edward Colucci, RPA-C

Medical Physician Assistant · Brooklyn, NY

NPI number 1104196336 Active

Practice location

1421 E 2nd St
Brooklyn, NY 11230-5501

Mailing address

18 Rome Ave
Staten Island, NY 10304-4318

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X015394-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1104196336

Edward Colucci, RPA-C's National Provider Identifier is 1104196336, issued on Jan 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 4, 2012.