Michael David Kolb, PA-C

NPI #1013418540 in Woodmere, New York

Provider Information

NPI Number: 1013418540
Entity Type: Individual
Name: Michael David Kolb, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 21, 2018
Last Updated: Mar 16, 2018

Practice Location

Address: 549 GREEN PL
City: Woodmere
State: New York
ZIP Code: 11598-1908
Phone: (201) 575-6945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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