Organization
GREGORY P. COLLIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PAUL COLLIS (OPERATOR)
(315) 382-6725
Entity
Organization
Contact information
Practice address
8196 GREEN RD, HUBBARDSVILLE, NY 13355-1132
(315) 382-6725
Mailing address
212 HIGHLAND ST, SYRACUSE, NY 13203-1603
(315) 382-6725
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02056302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02056302
—
NY
Enumeration date
05/24/2007
Last updated
08/22/2020
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