Individual
MARIAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
540 FULTON AVE, HEMPSTEAD, NY 11550
(516) 750-2613
(516) 483-3592
Mailing address
714 FILLMORE RD, EAST MEADOW, NY 11554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F42005-1
NY
Other
Enumeration date
04/20/2007
Last updated
03/15/2012
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