Individual
DAVID C COLLYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
(718) 299-4633
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(718) 299-1100
(718) 299-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
08/23/2005
Last updated
01/30/2012
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