MRS. Colleen Eli Butt

NPI #1790046597 in Carle Place, New York

Provider Information

NPI Number: 1790046597
Entity Type: Individual
Name: MRS. Colleen Eli Butt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 7, 2012
Last Updated: Jun 7, 2012

Practice Location

Address: 216 BROADWAY
City: Carle Place
State: New York
ZIP Code: 11514-1611
Phone: (516) 242-0772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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