Individual
DR. CONNIE C COLLURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4216 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5701
(516) 735-3232
(516) 579-8556
Mailing address
4216 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5701
(516) 735-3232
(516) 579-8556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046287-1
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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