Colacicco Wilson, Debra Anne

Colacicco Wilson, Debra Anne is an individual health care provider with primary practice located at 171 Intrepid Ln , Syracuse NY 13205-2548. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Colacicco Wilson, Debra Anne can be contacted via phone (315) 437-4689.

Contact Information

Primary practice address
171 Intrepid Ln Syracuse NY 13205-2548
Phone: (315) 437-4689
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 002012-1 New York

Profile Details

NPI number 1720233091
LBN Legal business name Colacicco Wilson, Debra Anne
Credentials MS OTR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2008
Last updated Nov 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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