Individual
COLLEEN VESSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
179-00 LINDEN BLVD, JAMAICA, NY 11424
(187) 526-1000
Mailing address
545 1ST AVE APT 7T, NEW YORK, NY 10016-6401
(561) 628-5054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
281788
NY
Other
Enumeration date
06/20/2013
Last updated
03/05/2025
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