National Provider Identifier

Deirdre Colgan, M.D.

Deirdre Colgan, M.D. is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Newark, NY and a listed phone number of (315) 359-2557.

NPI 1063654135Newark, NYPulmonary Disease Physician

Profile Overview

NPI
1063654135
Provider Type
Individual
Primary Specialty
Pulmonary Disease Physician
Enumeration Date
April 03, 2009
Last Updated
January 27, 2022

Practice Location

  • 1200 Driving Park Avenue
  • PO Box 111
  • Newark, NY 14513-1090

Phone: (315) 359-2557

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Pulmonary Disease Physician (207RP1001X)
  • Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
Full Record
NPI
1063654135
Entity Type
Individual
Last Name
Colgan
First Name
Deirdre
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 723-7575
Mailing Fax
(585) 368-4890
Practice Street Address
1200 Driving Park Avenue
Practice Address Line 2
PO Box 111
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(315) 359-2557
Practice Fax
(315) 359-2248
Enumeration Date
April 03, 2009
Last Updated
January 27, 2022
Sex
Female
Sole Proprietor
No
Certification Date
January 27, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pulmonary Disease Physician (207RP1001X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
Other Identifiers
04464600 (NY)