COLLEEN MARY DEFALCO

NORTHPORT, NY
NPI1306043351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F300698-1)
Enumeration Date2007-07-02
Last Update Date2019-07-02
Business Address
Mrs. COLLEEN MARY DEFALCO NP
VA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY 79 MIDDLEVILLE ROAD
NORTHPORT, NY 11768-2290
Phone number: 631-261-4400
Mailing Address
Mrs. COLLEEN MARY DEFALCO NP
17 COLONIAL DR
SMITHTOWN, NY 11787-4212
Phone number: 631-864-7279
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