Organization · Type 2 NPI

Coliseum Surgical & Medical PC

General Practice Physician · New York, NY

NPI number 1295890069 Active

Practice location

30 W 60th St, Suite 1H
New York, NY 10023-7906

Call (212) 247-6575 Map

Fax (212) 582-9461

Mailing address

503 Airport Executive Park
Nanuet, NY 10954-5238

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X153732 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1295890069

Coliseum Surgical & Medical PC's National Provider Identifier is 1295890069, issued on Dec 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Feb 20, 2009.