Individual
MS. COLLEEN MUNROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11441 173RD ST, JAMAICA, NY 11434-1320
(718) 704-2068
Mailing address
11441 173RD ST, JAMAICA, NY 11434-1320
(718) 704-2068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
648304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
652657076
—
NY
Enumeration date
09/22/2011
Last updated
01/21/2017
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