Provider Demographics
NPI:1922542851
Name:COLLINS, WILLIAM (DPT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:36 W 44TH ST STE 302B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8105
Mailing Address - Country:US
Mailing Address - Phone:631-241-3698
Mailing Address - Fax:917-409-5558
Practice Address - Street 1:36 W 44TH ST STE 302B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8105
Practice Address - Country:US
Practice Address - Phone:631-241-3698
Practice Address - Fax:212-391-8360
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041130-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic