Individual
COLLEEN BORDEN ZOGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5321
Mailing address
501 E SENECA ST, MANLIUS, NY 13104-1918
(315) 243-5890
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
378261-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F343039-1
NY
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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