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1104196336
EDWARD COLUCCI
BROOKLYN, NY
NPI
1104196336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 015394-1)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
-- EDWARD COLUCCI RPA-C
1421 E 2ND ST
BROOKLYN, NY 11230-5501
Phone number: 718-645-7337
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Mailing Address
-- EDWARD COLUCCI RPA-C
18 ROME AVE
STATEN ISLAND, NY 10304-4318
Phone number:
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