Individual
MS. MOLLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
366 N BROADWAY STE 305, JERICHO, NY 11753-2000
(516) 496-4964
(516) 496-4950
Mailing address
138 CANDEE AVE, SAYVILLE, NY 11782-3057
(516) 496-4964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C07454
MD
208VP0000X
Pain Medicine Physician
033838
NY
208VP0014X
Interventional Pain Medicine Physician
MC3343009
NY
363AM0700X
Medical Physician Assistant
Primary
033838
NY
Other
Enumeration date
08/25/2014
Last updated
11/14/2025
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