Provider Demographics
NPI:1164088472
Name:HOWARD, COLLETTE
Entity Type:Individual
Prefix:
First Name:COLLETTE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 BATTLE AVE APT 2G
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1518
Mailing Address - Country:US
Mailing Address - Phone:914-396-2426
Mailing Address - Fax:
Practice Address - Street 1:295 BATTLE AVE APT 2G
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-1518
Practice Address - Country:US
Practice Address - Phone:914-396-2426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist