MEDICARE: MRS. ZINAIDA POLISHCHUK LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	004326	NY

General Provider Information

NPI Number	:	1215262993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZINAIDA POLISHCHUK LMHC

Provider Business Mailing Address
First Line	:	2942 W 5TH ST APT 9F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3815
Country	:	US
Telephone Number	:	718-414-5794
Fax Number	:

Provider Business Practice Location Address
First Line	:	2942 W 5TH ST APT 9F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3815
Country	:	US
Telephone Number	:	718-414-5794
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	01/11/2022

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