Most Relevant Information
Provider Data
NPI Number: | 1003178765 |
Provider Name: | STANTON KEITH COLLINS M.D. |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/08/2012 |
Last Updated: | 04/18/2022 |
Provider Practice Location
3485 E TREMONT AVE STE 1B
BRONX
NY
104652016
Practice Location Phone/Fax
Phone: | 7188281549 |
Fax: | 7188285029 |
Provider Mailing Location
3485 E TREMONT AVE STE 1B
BRONX
NY
104652016
Provider Mailing Phone/Fax
Phone: | 7188281549 |
Fax: | 7188285029 |