Provider Demographics
NPI:1295629715
Name:DOWNEY, COLLEEN (FNP)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 59TH ST APT 3H
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5518
Mailing Address - Country:US
Mailing Address - Phone:917-596-1247
Mailing Address - Fax:
Practice Address - Street 1:4750 59TH ST APT 3H
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5518
Practice Address - Country:US
Practice Address - Phone:917-596-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353712207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine