Healthcare Provider Details

I. General information

NPI: 1174801435
Provider Name (Legal Business Name): JULIANE ZUCKER MSED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3036 E TREMONT AVE
BRONX NY
10461-5733
US

IV. Provider business mailing address

3036 E TREMONT AVE
BRONX NY
10461-5733
US

V. Phone/Fax

Practice location:
  • Phone: 718-823-3190
  • Fax: 718-829-6667
Mailing address:
  • Phone: 718-823-3190
  • Fax: 718-829-6667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number736436
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: