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Contact Information

JUDY P COLESBAILEY
56 DELAWARE AVE
FREEPORT, NY11520-2028
 Phone: 516-623-0781
 Fax: 516-623-0781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Community Health

163WC1500X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for

NPI # 1730406158
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/24/2010
Last updated 08/09/2013 - About 13 years ago
Identifiers
NY License # F401031
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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