Individual
COLLEEN SHULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 QUARRY RD, ITHACA, NY 14850-8726
(607) 882-0096
Mailing address
147 QUARRY RD, ITHACA, NY 14850-8726
(607) 882-0096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
497619-1
NY
Other
Enumeration date
01/15/2017
Last updated
01/17/2017
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