Individual
MS. DORCAS EILEEN COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
84 BROAD ST, GLENS FALLS, NY 12801-4381
(518) 798-0528
(518) 798-9576
Mailing address
84 BROAD ST, GLENS FALLS, NY 12801-4381
(518) 798-0528
(518) 798-9576
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380604-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03144314
—
NY
Enumeration date
03/09/2007
Last updated
11/16/2011
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