Individual provider · Type 1 NPI

Wendy Bezko Colligan, RPA-C

Medical Physician Assistant · Roslyn, NY

NPI number 1679797682 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576-1353

Fax (516) 562-6614

Mailing address

6 Iris Ln
New Hyde Park, NY 11040-2124

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1657-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1679797682

Wendy Bezko Colligan, RPA-C's National Provider Identifier is 1679797682, issued on Apr 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roslyn, NY. The record was last updated on Jul 8, 2007.