Individual provider · Type 1 NPI

Trae Bethesda Collins

Specialist · Glendale, NY

NPI number 1760872535 Active

Practice location

8866 Myrtle Ave
Glendale, NY 11385-7857

Mailing address

21104 39th Ave
Bayside, NY 11361-1968

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X854670141 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760872535

Trae Bethesda Collins's National Provider Identifier is 1760872535, issued on Jan 30, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, NY. The record was last updated on Jan 30, 2015.