Individual
JOHN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1100 PARK AVE # 1B, NEW YORK, NY 10128-1202
(212) 920-6800
(212) 920-6249
Mailing address
1100 PARK AVE # 1B, NEW YORK, NY 10128-1202
(212) 920-6800
(212) 920-6249
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
850445
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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