person
Mrs. Colleen Mary Defalco, NP
Adult Health Nurse Practitioner in Northport, New York
NPI 1306043351

Colleen Mary Defalco is an Adult Health Nurse Practitioner based in Smithtown, NY and is specialized in Adult Health. Colleen Mary Defalco practices in Northport, NY and has the professional credentials of NP. The NPI Number for Colleen Mary Defalco is 1306043351 and holds a License No. F300698-1 (New York).

The current practice location address for Colleen Mary Defalco is Va Medical Center, Dept Of Gastroenterology, Northport, NY and can be reached out via phone at 631-261-4400 and via fax at 631-486-6113.

Location: Va Medical Center, Dept Of Gastroenterology, Northport, NY, 11787-4212
person
Provider Profile Details
NPI Number
1306043351
Provider Name
Colleen Mary Defalco
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Va Medical Center, Dept Of Gastroenterology, Northport, NY, 11787-4212
Phone Number
631-261-4400
Fax Number
631-486-6113
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Va Medical Center, Dept Of Gastroenterology
City
State
Zip
11768-2290
Phone Number
631-261-4400
Fax Number
631-486-6113
person
Provider Business Mailing Address Details
Address
Va Medical Center, Dept Of Gastroenterology
City
State
Zip
11768-2290
Phone Number
631-261-4400
Fax Number
631-486-6113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F300698-1 (New York)
Definition
Definition to come...
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