Individual
COLLEEN CRONIN PACKIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1980 CROMPOND RD, CORTLANDT MANOR, NY 10567-4144
(914) 737-9000
Mailing address
1980 CROMPOND RD, CORTLANDT MANOR, NY 10567-4144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021222
NY
363A00000X
Physician Assistant
3381
CT
Other
Enumeration date
07/15/2015
Last updated
04/12/2024
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