Colucci, Mylene

Colucci, Mylene is an individual health care provider with primary practice located at 3 School St Suite 303, Glen Cove NY 11542-2548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Colucci, Mylene can be contacted via phone (516) 676-2878.

Contact Information

Primary practice address
3 School St Suite 303 Glen Cove NY 11542-2548
Phone: (516) 676-2878
Fax: (516) 674-2256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME162038 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 226904 New York

Profile Details

NPI number 1790909885
LBN Legal business name Colucci, Mylene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Mar 14th, 2024 - about 2 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 1790909885 NPPES
New York Other 226904 LICENSE

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