Individual
DR. JEFFREY DAVID COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
455 MAPLE ST STE 1, BIG FLATS, NY 14814-9702
(607) 562-8901
(607) 562-7443
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310334
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
310334
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06703231
—
NY
Enumeration date
03/21/2018
Last updated
05/25/2022
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