SCOTT CHARLES KOLESAR-KHAN

BETHPAGE, NY
NPI1881347185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404005)
Enumeration Date2022-01-27
Last Update Date2022-01-27
Business Address
SCOTT CHARLES KOLESAR-KHAN NP
16 PARK LN
BETHPAGE, NY 11714-5225
Phone number: 917-480-6056
Mailing Address
SCOTT CHARLES KOLESAR-KHAN NP
16 PARK LN
BETHPAGE, NY 11714-5225
Phone number: 917-480-6056