Provider Demographics
NPI:1952571648
Name:CURRY, COLETTE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:COLETTE
Other - Middle Name:
Other - Last Name:GOULARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:604 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1542
Mailing Address - Country:US
Mailing Address - Phone:516-222-8841
Mailing Address - Fax:
Practice Address - Street 1:4295 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5713
Practice Address - Country:US
Practice Address - Phone:516-207-7007
Practice Address - Fax:516-207-7008
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist