Colten, Gail K

Colten, Gail K is an individual health care provider with primary practice located at 4811 Buckley Road , Liverpool NY 13088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Colten, Gail K can be contacted via phone (315) 457-9966.

Contact Information

Primary practice address
4811 Buckley Road Liverpool NY 13088
Phone: (315) 457-9966
Fax: (315) 457-9854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380073 New York

Profile Details

NPI number 1245344530
LBN Legal business name Colten, Gail K
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 23rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245344530 NPPES
New York MEDICAID 02817187

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