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Jacqueline Colalillo
NPI 1104701671 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4 Smith Haven Mall Ste 110
Lake Grove, NY 11755 - Phone
- (631) 444-6270
- Organisation at this address
- Luxottica Of America Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Sex
- Female
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York