Healthcare Provider Details

I. General information

NPI: 1114779253
Provider Name (Legal Business Name): SELIN FATMA NOGUEIRA-ZORER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 PARK AVE
NEW YORK NY
10035-1316
US

IV. Provider business mailing address

1841 PARK AVE
NEW YORK NY
10035-1316
US

V. Phone/Fax

Practice location:
  • Phone: 646-459-6123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF407387-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: