John Colletta, MD

NPI #1790845865 in Glen Cove, New York

Provider Information

NPI Number: 1790845865
Entity Type: Individual
Name: John Colletta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: GLEN COVE HOSPITAL DEPT OF EMER MED
Address 2: 101 ST. ANDREWS LANE
City: Glen Cove
State: New York
ZIP Code: 11542
Phone: (516) 674-7325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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