Individual
PATRICE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101-125 W 147TH ST, APT 8C, NEW YORK, NY 10039-4301
(212) 694-4080
Mailing address
101-125 W 147TH ST, APT 8C, NEW YORK, NY 10039-4301
(212) 694-4080
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
694109
NY
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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