Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 141613 | NY |
N | 111NI0900X | Internist | 141613 | NY |
Y | 207RH0003X | Hematology & Oncology | 141613 | NY |
NPI | 1023060944 |
---|---|
Provider Name | Frank Colella |
First Address | Brooklyn, NY 11215-3609 |
Second Address | Brooklyn, NY 11215-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 11/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00860031 | (05) | NY |
C08060 | (02) |