Healthcare Provider Details

I. General information

NPI: 1447876578
Provider Name (Legal Business Name): NARELY ZAPATA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 BONHEIM ST FL 2
ALBANY NY
12204-2618
US

IV. Provider business mailing address

12 BONHEIM ST FL 2
ALBANY NY
12204-2618
US

V. Phone/Fax

Practice location:
  • Phone: 518-764-1564
  • Fax:
Mailing address:
  • Phone: 518-764-1564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10941401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: