Individual
COLLETTE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2054 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
3223 GLENWOOD RD APT D6, BROOKLYN, NY 11210-2714
(347) 419-6298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
794441
NY
164W00000X
Licensed Practical Nurse
308361
NY
Other
Enumeration date
01/11/2013
Last updated
11/05/2021
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