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NPI Code Detail

MEDICARE: COLLINS WELLCARE MEDICAL, P.C.

MEDICARE: COLLINS WELLCARE MEDICAL, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician148940NY

General Provider Information

NPI Number : 1487830238
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLINS WELLCARE MEDICAL, P.C.
Provider Business Mailing Address
First Line : 7616 BAY PKWY STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1516
Country : US
Telephone Number : 718-232-1910
Fax Number : 718-232-1932
Provider Business Practice Location Address
First Line : 7616 BAY PKWY STE 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1516
Country : US
Telephone Number : 718-232-1910
Fax Number : 718-232-1932
Authorized Official
Title or Position : PRESIDENT
Name : DR. RONALD LESLIE COLLINS
Credential :
Telephone Number : 718-300-7130
Provider Enumeration Date : 01/10/2008
Last Update Date : 07/31/2008

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Directions to “COLLINS WELLCARE MEDICAL, P.C. ” Practice Location

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