Individual
MRS. COLLEEN ELIZABETH CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6167 W QUAKER ST, ORCHARD PARK, NY 14127-2640
(716) 662-4800
(716) 662-5700
Mailing address
8 FARAGUT AVE, TONAWANDA, NY 14150-4727
(716) 694-0828
(716) 662-5700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025006-1
NY
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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