Organization
COLLINS WELLCARE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LESLIE COLLINS (PRESIDENT)
(718) 300-7130
Entity
Organization
Contact information
Practice address
7616 BAY PKWY STE 1, BROOKLYN, NY 11214-1516
(718) 232-1910
(718) 232-1932
Mailing address
7616 BAY PKWY STE 1, BROOKLYN, NY 11214-1516
(718) 232-1910
(718) 232-1932
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
148940
NY
Other
Enumeration date
01/10/2008
Last updated
07/31/2008
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