Individual
DONNA M COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 MALTESE DRIVE, MIDDLETOWN MEDICAL PC, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Mailing address
111 MALTESE DRIVE, MIDDLETOWN MEDICAL PC, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014346
LICENSE
NY
Enumeration date
10/19/2010
Last updated
10/19/2010
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