Individual
DR. BRIAN IRA COLLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8439 153RD AVE, SUITE LM, HOWARD BEACH, NY 11414-1957
(718) 848-3909
Mailing address
8439 153RD AVE, SUITE LM, HOWARD BEACH, NY 11414-1957
(718) 848-3909
(718) 848-4107
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
146921-01
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
146921-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00999160
—
NY
Enumeration date
05/16/2006
Last updated
05/04/2022
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