Individual
ALEXIS COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10723 77TH ST, OZONE PARK, NY 11417-1102
(917) 742-4122
Mailing address
10723 77TH ST, OZONE PARK, NY 11417-1102
(917) 742-4122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
692739
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
692739
NY
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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