Provider Demographics
NPI:1417261355
Name:ZYLBER, REBECCA JILL (CPNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JILL
Last Name:ZYLBER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JILL
Other - Last Name:VOGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVE, 7TH FLOOR
Mailing Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-7212
Mailing Address - Fax:212-305-5848
Practice Address - Street 1:161 FORT WASHINGTON AVE, 7TH FLOOR
Practice Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-7212
Practice Address - Fax:212-305-5848
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382124363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics