=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205788858
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PORT CARE PEDIATRIC NP PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13 S BAYLES AVE
-----------------------------------------------------
City | PORT WASHINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11050-3747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-212-2247
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 REID AVE
-----------------------------------------------------
City | PORT WASHINGTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11050-3918
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-488-3142
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PEDIATRIC NURSE PRACTITIONER
-----------------------------------------------------
Name | MRS. CHRISTINE MOLINARI ZAHLER
-----------------------------------------------------
Credential | CPNP
-----------------------------------------------------
Telephone | 516-212-2247
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------