Provider Demographics
NPI:1194588160
Name:COLLINS-MINCH, DRUNAY DONTE (MED, MA)
Entity type:Individual
Prefix:
First Name:DRUNAY
Middle Name:DONTE
Last Name:COLLINS-MINCH
Suffix:
Gender:M
Credentials:MED, MA
Other - Prefix:
Other - First Name:DRUNAY
Other - Middle Name:DONTE
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 GERARD AVE APT 1023
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5871
Mailing Address - Country:US
Mailing Address - Phone:210-887-3662
Mailing Address - Fax:
Practice Address - Street 1:445 GERARD AVE APT 1023
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5871
Practice Address - Country:US
Practice Address - Phone:210-887-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional