Individual
DENISE COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 PHELPS LN, NORTH BABYLON, NY 11703-4005
(631) 422-7676
Mailing address
281 PHELPS LN, NORTH BABYLON, NY 11703-4005
(631) 422-7676
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
365009-1
NY
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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