Individual
COLLEEN HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 EMILY CT, MORICHES, NY 11955-1817
(631) 745-8320
Mailing address
12 EMILY CT, MORICHES, NY 11955-1817
(631) 745-8320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752294
NY
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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