MEDICARE: EMILY ANN COLLINS PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F402817-01	NY

General Provider Information

NPI Number	:	1497391023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN COLLINS PMHNP

Provider Business Mailing Address
First Line	:	1 ECHO HL
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ECHO HL
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-3600
Country	:	US
Telephone Number	:	914-693-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2019
Last Update Date	:	11/19/2019

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