Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 268638-1 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 268638 | NY |
NPI | 1841425618 |
---|---|
Provider Name | Amy Collins |
First Address | Binghamton, NY 13905-1048 |
Second Address | Apalachin, NY 13732-4101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2009 |
Last Update Date | 05/07/2016 |