Individual
MS. MARY J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
60- 02 60 LANE, MASPETH, NY 11378
(718) 628-8025
Mailing address
6492 84TH ST, MIDDLE VILLAGE, NY 11379-2437
(718) 326-3270
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
241604
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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