Healthcare Provider Details

I. General information

NPI: 1417261355
Provider Name (Legal Business Name): REBECCA JILL ZYLBER CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA JILL VOGEL

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FORT WASHINGTON AVE, 7TH FLOOR COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK NY
10032
US

IV. Provider business mailing address

161 FORT WASHINGTON AVE, 7TH FLOOR COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK NY
10032
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-7212
  • Fax: 212-305-5848
Mailing address:
  • Phone: 212-305-7212
  • Fax: 212-305-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382124
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: