Individual
COLLEEN ANN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 JOHNSON AVE, SAYVILLE, NY 11782-1141
(631) 300-7265
Mailing address
303 JOHNSON AVE, SAYVILLE, NY 11782-1141
(631) 300-7265
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308888-1
NY
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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