Individual
COLIN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1847 MOTT AVE, FAR ROCKAWAY, NY 11691-4201
(718) 337-6800
Mailing address
191 JORALEMON ST, BROOKLYN, NY 11201-4306
(718) 722-6000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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