Individual
MR. COLIN ROY BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1 CHIMNEY POINT DR, OGDENSBURG, NY 13669-2291
(315) 551-2500
Mailing address
48 ELM ST, POTSDAM, NY 13676-1813
(315) 244-0912
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
675762
NY
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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