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Individual

MICHAEL COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE BOX 777R, ROCHESTER, NY 14642-0001
(585) 275-4174
Mailing address
601 ELMWOOD AVE BOX 777R, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
310255
NY
363AM0700X
Medical Physician Assistant
310255
NY

Other

Enumeration date
05/19/2015
Last updated
07/07/2023
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