Individual
MRS. ANN MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 STATE ROUTE 104, NEW HAVEN, NY 13121
(315) 963-8400
Mailing address
4320 STATE ROUTE 104, NEW HAVEN, NY 13121
(315) 963-8400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029157
NY
Other
Enumeration date
09/25/2019
Last updated
12/01/2022
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