Individual
DR. CLYDE AULGIN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 HOLLAND AVE., ALBANY, NY 12208
(518) 626-5000
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
260570
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2008
Last updated
08/15/2012
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