MEDICARE: JANET ZINN LCSW

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	1041C0700X	Clinical Social Worker	069928	NY

General Provider Information

NPI Number	:	1396764866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET ZINN LCSW

Provider Business Mailing Address
First Line	:	415 E 87TH ST
Second Line	:	#1D
City	:	NEW YORK
State	:	NY
Zip	:	10128-6522
Country	:	US
Telephone Number	:	212-861-0861
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E 87TH ST
Second Line	:	#1D
City	:	NEW YORK
State	:	NY
Zip	:	10128-6522
Country	:	US
Telephone Number	:	212-861-0861
Fax Number	:

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/02/2010

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