Individual
RICHARD COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
1915 JULIA GOLDBACH AVE, RONKONKOMA, NY 11779-6416
(570) 704-8108
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432467
NY
Other
Enumeration date
10/10/2022
Last updated
01/31/2026
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