Individual
MRS. COLLEN M RIENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 SYLVAN LN, PORT JEFFERSON STATION, NY 11776-1400
(631) 767-0837
(631) 767-0837
Mailing address
9 SYLVAN LN, PORT JEFFERSON STATION, NY 11776-1400
(631) 767-0837
(631) 767-0837
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307715-01
NY
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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