ANTHONY R COLLICA

PORT JERVIS, NY
NPI1558938548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  403616)
Enumeration Date2021-06-08
Last Update Date2022-06-13
Business Address
MR. ANTHONY R COLLICA PMHNP
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
Mailing Address
MR. ANTHONY R COLLICA PMHNP
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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