Individual
DOROTHY R COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 PROSPECT PARK SW APT 4B, BROOKLYN, NY 11218-1553
(917) 597-7357
Mailing address
207 PROSPECT PARK SW APT 4B, BROOKLYN, NY 11218-1553
(917) 597-7357
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
174400000X
Specialist
021248001
NY
Other
Enumeration date
01/28/2014
Last updated
02/04/2014
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