National Provider Identifier

Jeffrey David Collins, DO

Jeffrey David Collins, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Big Flats, NY and a listed phone number of (607) 562-8901.

NPI 1821592122Big Flats, NYFamily Medicine Physician

Profile Overview

NPI
1821592122
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
March 21, 2018
Last Updated
May 25, 2022

Practice Location

  • 455 Maple St Ste 1
  • Big Flats, NY 14814-9702

Phone: (607) 562-8901

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Family Medicine Physician (207Q00000X)
  • Addiction Medicine (Family Medicine) Physician (207QA0401X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1821592122
Entity Type
Individual
Last Name
Collins
First Name
Jeffrey
Middle Name
David
Name Prefix
Dr.
Credential
DO
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 873-1244
Practice Street Address
455 Maple St Ste 1
Practice City
Big Flats
Practice State
NY
Practice ZIP Code
14814-9702
Practice Country
US
Practice Phone
(607) 562-8901
Practice Fax
(607) 562-7443
Enumeration Date
March 21, 2018
Last Updated
May 25, 2022
Sex
Male
Sole Proprietor
No
Certification Date
May 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Addiction Medicine (Family Medicine) Physician (207QA0401X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
06703231 (NY)