Individual
EMILY COLLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
26 BEAUMONT LN, LAKE GROVE, NY 11755-2704
(570) 801-1625
Mailing address
26 BEAUMONT LN, LAKE GROVE, NY 11755-2704
(570) 801-1625
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
888650
NY
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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