| Edward Colucci, RPA-C | |
|
1421 E 2nd St, Brooklyn, NY 11230-5501 | |
| (718) 645-7337 | |
| Not Available |
| Full Name | Edward Colucci |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1421 E 2nd St, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104196336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 015394-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excel Urgent Care Of Wantagh Pllc | 9234364027 | 40 |
| Entity Name | Excel Urgent Care of Wantagh PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184067936 PECOS PAC ID: 9234364027 Enrollment ID: O20131104000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Colucci, RPA-C 18 Rome Ave, Staten Island, NY 10304-4318 Ph: Not Available | Edward Colucci, RPA-C 1421 E 2nd St, Brooklyn, NY 11230-5501 Ph: (718) 645-7337 |
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