Individual
MS. COLLEEN J. MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 LILY AVE, HORNELL, NY 14843-2126
(607) 661-2422
Mailing address
335 LILY AVE, HORNELL, NY 14843-2126
(607) 661-2422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306289-1
NY
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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