Provider Demographics
NPI:1558816488
Name:CURRAN, COLLEEN MARY
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MARY
Last Name:CURRAN
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 1:1630 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3239
Mailing Address - Country:US
Mailing Address - Phone:516-425-5181
Mailing Address - Fax:
Practice Address - Street 1:1630 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3239
Practice Address - Country:US
Practice Address - Phone:516-425-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-21
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No252Y00000XAgenciesEarly Intervention Provider Agency