Individual
ANGELA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6001
Mailing address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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