Individual
DR. COLLEEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4055 HYLAN BLVD, STATEN ISLAND, NY 10308-3334
(718) 966-9285
Mailing address
83 THORNYCROFT AVE, STATEN ISLAND, NY 10312-6541
(718) 702-6626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
071943
NY
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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