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Individual

MRS. MARIE VOGENIE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 CENTRAL PARK W, 17B, NEW YORK, NY 10025-5880
(212) 865-1614
Mailing address
400 CENTRAL PARK W, 17B, NEW YORK, NY 10025-5880
(212) 865-1614

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1809653
NY

Other

Enumeration date
07/06/2012
Last updated
07/06/2012
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