Yasmin Collazo MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

187388 Issued in NY

Legal business name

YASMIN COLLAZO MD PC

Practice address

936 5TH Ave
Ste 4
New York, NY 10021-2653

Phone

(212) 452-9671

Fax

(212) 452-9672

NPI assigned

Nov 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yasmin M Collazo, MDNPI 1346347507

Title

President

Phone

(212) 452-9671

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasmin Collazo, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1346347507
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1689901498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 76TH ST",
            "address_2": "APT 14E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212941",
            "telephone_number": "212-452-9671",
            "fax_number": "212-452-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 5TH AVE",
            "address_2": "STE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212653",
            "telephone_number": "212-452-9671",
            "fax_number": "212-452-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMIN COLLAZO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-452-9671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "187388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Luzia Yashar
• Olga Yashayeva, PHARM. D
• Anastasia E Yasik, PH.D.
• Bibi Yasin
• Zain A Yasin
• Afroja Yasmin
• Nighat Yasmin
• Jeffrey Yasny, D.D.S.
• Eliza Yass
• Ayman Samir Yassa, MD

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.