Individual
LUIS COLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 ROUTE 17, SUITE 207, TUXEDO PARK, NY 10987-4406
(845) 915-3061
Mailing address
233 ROUTE 17, SUITE 207, TUXEDO PARK, NY 10987-4406
(845) 915-3061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
308283
NY
Other
Enumeration date
03/24/2011
Last updated
05/19/2021
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