Provider Demographics
NPI:1942554381
Name:COLLINS, DENISE J (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:J
Last Name:COLLINS
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 FOSTER ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2823
Mailing Address - Country:US
Mailing Address - Phone:516-448-6890
Mailing Address - Fax:
Practice Address - Street 1:1081 FOSTER ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-2823
Practice Address - Country:US
Practice Address - Phone:516-448-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004957171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist