Provider Demographics
NPI:1538412499
Name:FLORES, ZYLMA (FNP)
Entity type:Individual
Prefix:
First Name:ZYLMA
Middle Name:
Last Name:FLORES
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 1:1978 CROMPOND RD STE G1
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4116
Mailing Address - Country:US
Mailing Address - Phone:914-293-8400
Mailing Address - Fax:914-293-8423
Practice Address - Street 1:1978 CROMPOND RD STE G1
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4116
Practice Address - Country:US
Practice Address - Phone:374-293-8400
Practice Address - Fax:914-989-7601
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF337492OtherLICENSE