Collins, Jeffrey David

Collins, Jeffrey David is an individual health care provider with primary practice located at 455 Maple St Ste 1 , Big Flats NY 14814-9702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Collins, Jeffrey David can be contacted via phone (607) 562-8901.

Contact Information

Primary practice address
455 Maple St Ste 1 Big Flats NY 14814-9702
Phone: (607) 562-8901
Fax: (607) 562-7443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 310334 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 310334 New York

Profile Details

NPI number 1821592122
LBN Legal business name Collins, Jeffrey David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated May 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821592122 NPPES
New York MEDICAID 06703231

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