Individual
COLLETTE GUSHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 ARGYLE DR, SHIRLEY, NY 11967-4201
(631) 965-7336
Mailing address
35 ARGYLE DR, SHIRLEY, NY 11967-4201
(631) 965-7336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
281187
NY
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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