Provider Demographics
NPI:1184926842
Name:COLLADO, ANTONIA (MSW)
Entity type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:COLLADO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 GERARD AVE
Mailing Address - Street 2:B12
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-2401
Mailing Address - Country:US
Mailing Address - Phone:646-217-9125
Mailing Address - Fax:
Practice Address - Street 1:50 BROADWAY
Practice Address - Street 2:FLOOR 19
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1607
Practice Address - Country:US
Practice Address - Phone:212-614-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical