Provider Demographics
NPI:1003984998
Name:COLLINS, JAMES M (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:COLLINS
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:19 BEEKMAN STREET
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-964-3334
Mailing Address - Fax:212-964-0118
Practice Address - Street 1:19 BEEKMAN STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-964-3334
Practice Address - Fax:212-964-0118
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2009-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY021496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q09471Medicare ID - Type Unspecified