EDWARD COLUCCI

BROOKLYN, NY
NPI1104196336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  015394-1)
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
-- EDWARD COLUCCI RPA-C
1421 E 2ND ST
BROOKLYN, NY 11230-5501
Phone number: 718-645-7337
Mailing Address
-- EDWARD COLUCCI RPA-C
18 ROME AVE
STATEN ISLAND, NY 10304-4318
Phone number: