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Individual

CHRISTOPHER DENNIS COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., P.A.

Contact information

Practice address
6 TECHNOLOGY DR, SUITE 100, EAST SETAUKET, NY 11733-4047
(631) 689-6698
(631) 751-5548
Mailing address
193 GLEN SUMMER RD, HOLBROOK, NY 11741-5027
(631) 472-0281

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004429
NY

Other

Enumeration date
10/04/2006
Last updated
10/29/2007
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