Individual
MS. COLLEEN M GASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
63 ALBANY SHAKER RD, SUITE 102, ALBANY, NY 12204-1030
(518) 207-2710
(518) 207-2713
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302420
NY
363LG0600X
Gerontology Nurse Practitioner
F302420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02934292
—
NY
Enumeration date
08/16/2005
Last updated
02/28/2018
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