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General NPI Number Information
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NPI Number | 1306453113
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Entity Type | Individual
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Provider Name | COLLEEN ELLEN ZYLA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 800 WESTCHESTER AVE STE S638
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City | RYE BROOK
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State | NY
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Zip | 10573-1331
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Country | US
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Telephone | 855-284-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ELSIE CIR
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City | CORNWALL ON HUDSON
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State | NY
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Zip | 12520-1231
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Country | US
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Telephone | 914-588-2616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1103X
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Taxonomy Name | Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
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License Number | 346374
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License Number State | NY
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