Provider Demographics
NPI:1518385160
Name:COLLINS, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ALPINE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4002
Mailing Address - Country:US
Mailing Address - Phone:504-442-2849
Mailing Address - Fax:
Practice Address - Street 1:5910 KIRKWOOD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3048
Practice Address - Country:US
Practice Address - Phone:412-661-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD461168207V00000X, 208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine