Colleen Wilzena Daley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

429290 Issued in NY

Practice address

300 Bucknell Road
Valley Stream, NY 11580

Phone

(917) 972-1525

NPI assigned

Apr 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1699066902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BUCKNELL RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805351",
            "telephone_number": "917-975-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BUCKNELL ROAD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "917-972-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "COLLEEN",
        "middle_name": "WILZENA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "429290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CW Dietary Consulting LLC
• Cyrus RX Inc
• Gerard D'Aversa, M.D.
• Gerard R D'Aversa, OD
• Suzanne Dalal, PHD
• Nicole Daley, MS
• Terri A Daley, LPN
• Dallet Psychological Services PC
• Andrea Damour
• Daniel E. Levy M.D.,P.C.

• Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.