Provider Demographics
NPI:1063267276
Name:COLON, DELILAH ALLISON (NP)
Entity type:Individual
Prefix:
First Name:DELILAH
Middle Name:ALLISON
Last Name:COLON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 NEPTUNE LN
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-2459
Mailing Address - Country:US
Mailing Address - Phone:917-653-2189
Mailing Address - Fax:
Practice Address - Street 1:103 NEPTUNE LN
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-2459
Practice Address - Country:US
Practice Address - Phone:917-653-2189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF353612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily