Individual
COLLETTE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6143 186TH ST, FRESH MEADOWS, NY 11365-2710
(516) 835-9212
Mailing address
1275 E 84TH ST, BROOKLYN, NY 11236-4911
(347) 972-8545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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