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NPI Code Detail

MEDICARE: JAMES S COLLINS MD

MEDICARE: JAMES S COLLINS MD
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
1207Q00000XFamily Medicine Physician134888NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104819200
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES S COLLINS MD
Provider Business Mailing Address
First Line : 40 LA RIVIERE DR STE 201
Second Line :
City : BUFFALO
State : NY
Zip : 14202-4344
Country : US
Telephone Number : 716-893-1010
Fax Number : 716-893-1002
Provider Business Practice Location Address
First Line : 40 LA RIVIERE DR STE 201
Second Line :
City : BUFFALO
State : NY
Zip : 14202-4344
Country : US
Telephone Number : 716-893-1010
Fax Number : 716-893-1002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 05/31/2022

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Directions to “ JAMES S COLLINS MD” Practice Location

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