Individual
MR. GEORGE COOPER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7589
Mailing address
675 GRAND ST APT 3L, BROOKLYN, NY 11211-4957
(718) 599-9335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016653
NY
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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