Healthcare Provider Details

I. General information

NPI: 1366694234
Provider Name (Legal Business Name): ALICE RYMER ZUNG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 06/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ELM PL
ARMONK NY
10504-2206
US

IV. Provider business mailing address

4 ELM PL
ARMONK NY
10504-2206
US

V. Phone/Fax

Practice location:
  • Phone: 914-273-6674
  • Fax: 914-273-3820
Mailing address:
  • Phone: 914-273-6674
  • Fax: 914-273-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0305621
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: