MEDICARE: BIANCA POU-COLLAZO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1215865225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA POU-COLLAZO

Provider Business Mailing Address
First Line	:	2223 E 38TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5104
Country	:	US
Telephone Number	:	732-789-9253
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 E 38TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5104
Country	:	US
Telephone Number	:	732-789-9253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ BIANCA POU-COLLAZO ” Practice Location

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