Individual
MISS KATHRYN E COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
292 MADISON AVE, NEW YORK, NY 10017-6307
(212) 418-0343
(212) 980-0073
Mailing address
2540 BENSON AVE, BROOKLYN, NY 11214-4407
(718) 382-1060
(718) 382-1449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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