Individual provider · Type 1 NPI

Antonio Alvaras Colaco, PA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1356689657 Active

Practice location

95 Crystal Run Rd
Middletown, NY 10941-7001

Call (845) 703-6999 Map

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X016235 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1356689657

Antonio Alvaras Colaco, PA-C's National Provider Identifier is 1356689657, issued on Jan 21, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on Aug 6, 2020.