Healthcare Provider Details

I. General information

NPI: 1538098496
Provider Name (Legal Business Name): KOLLINE SCHRAMM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARK AVE
NEW YORK NY
10016-5802
US

IV. Provider business mailing address

17 MONTAGUE AVE
MERRICK NY
11566-1922
US

V. Phone/Fax

Practice location:
  • Phone: 212-404-3787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number312462
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: