Healthcare Provider Details

I. General information

NPI: 1497822308
Provider Name (Legal Business Name): FAITH ORLOFF ZINNER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FRONT STREET
BINGHAMTON NY
13905
US

IV. Provider business mailing address

4513 FOREST LANE
VESTAL NY
13850
US

V. Phone/Fax

Practice location:
  • Phone: 607-722-9190
  • Fax: 607-722-6245
Mailing address:
  • Phone: 607-797-1473
  • Fax: 607-722-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number000823
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: