Healthcare Provider Details

I. General information

NPI: 1780237693
Provider Name (Legal Business Name): ZAYD SIFRI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CARROLLTON AVE
NEW ORLEANS LA
70119-4700
US

IV. Provider business mailing address

3012 SAINT PETER ST
NEW ORLEANS LA
70119-4033
US

V. Phone/Fax

Practice location:
  • Phone: 504-422-1642
  • Fax:
Mailing address:
  • Phone: 347-223-8994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15817
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: