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1134268592
MICHELE T MCCOLLOUGH
NEW YORK, NY
NPI
1134268592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 009227)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- MICHELE T MCCOLLOUGH PA
506 MALCOLM X BLVD
NEW YORK, NY 10037-1802
Phone number: 212-939-2250
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Mailing Address
-- MICHELE T MCCOLLOUGH PA
10910 201ST ST
SAINT ALBANS, NY 11412-1314
Phone number: 718-740-6887
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