Individual
MR. ERNEST C COLLIER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
523 3RD ST, EAST NORTHPORT, NY 11731-2920
(631) 757-4315
Mailing address
523 3RD ST, EAST NORTHPORT, NY 11731-2920
(631) 757-4315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000506-1
NY
Other
Enumeration date
11/04/2006
Last updated
01/25/2012
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