Provider Demographics
NPI:1114731163
Name:COLON, CHRISTIAN F (NP)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:F
Last Name:COLON
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06906-1009
Mailing Address - Country:US
Mailing Address - Phone:718-666-1527
Mailing Address - Fax:
Practice Address - Street 1:25 LEONARD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06906-1009
Practice Address - Country:US
Practice Address - Phone:718-666-1527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY724472390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program