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1982178554
JENNA NICOLE COLUCCIO
NEW YORK, NY
NPI
1982178554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
JENNA NICOLE COLUCCIO
170 WILLIAM ST
NEW YORK, NY 10038-2612
Phone number: 212-312-5000
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Mailing Address
JENNA NICOLE COLUCCIO
3125 ENOS ST
BELLMORE, NY 11710-5318
Phone number: 516-512-0044
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