Individual
MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA
Contact information
Practice address
1216 BAY ST, STATEN ISLAND, NY 10305-3169
(718) 273-5159
(718) 876-4414
Mailing address
1216 BAY ST, STATEN ISLAND, NY 10305-3169
(718) 273-5159
(718) 876-4414
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5397
NY
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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