Mylene Colucci MD PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

226904 Issued in NY

Legal business name

MYLENE COLUCCI MD PC

Practice address

3 School St
Suite 303
Glen Cove, NY 11542-2590

Phone

(516) 676-2878

Fax

(516) 674-2256

NPI assigned

Feb 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mylene Colucci, MD

Title

President

Phone

(516) 676-2878

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1952674897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "address_2": "SUITE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "516-676-2878",
            "fax_number": "516-674-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST",
            "address_2": "SUITE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422590",
            "telephone_number": "516-676-2878",
            "fax_number": "516-674-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLENE COLUCCI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "COLUCCI",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-676-2878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "226904",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "226904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "226904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rivka Mullokandova, DO
• Peter Munda, CH
• Fabio Murillo, LAC
• Sarah Murray, RN, IBCLC
• Mary Muscarello, NP, CDE
• Same M Napier, L.P.N
• Daniel Simon Nassimi, DDS
• Arthur Natale, PT
• Ambika Nath, D.O.
• Indrani Nath

• Pulmonary Disease Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.