Individual
MRS. COLLEEN TERESA MINNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1353
(845) 333-1454
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1353
(845) 333-1454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338321
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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