Provider Demographics
NPI:1851653026
Name:COLLINS, RUQAYYAH (CD)
Entity Type:Individual
Prefix:MRS
First Name:RUQAYYAH
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 DEWITT AVE
Mailing Address - Street 2:2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-6701
Mailing Address - Country:US
Mailing Address - Phone:347-546-9026
Mailing Address - Fax:
Practice Address - Street 1:419 DEWITT AVE
Practice Address - Street 2:2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-6701
Practice Address - Country:US
Practice Address - Phone:347-546-9026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula