Individual
DR. PAUL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1401 ROUTE 300, NEWBURGH MALL, NEWBURGH, NY 12550-2990
(845) 566-9179
(845) 566-9192
Mailing address
1401 ROUTE 300, NEWBURGH MALL, NEWBURGH, NY 12550-2990
(845) 566-9179
(845) 566-9192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004272-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03083992
—
NY
Enumeration date
10/31/2006
Last updated
11/01/2011
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