Healthcare Provider Details

I. General information

NPI: 1730860370
Provider Name (Legal Business Name): ZAHAVA HURWITZ MHC INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/27/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 E 14TH ST
BROOKLYN NY
11230-5241
US

IV. Provider business mailing address

1268 E 14TH ST
BROOKLYN NY
11230-5241
US

V. Phone/Fax

Practice location:
  • Phone: 718-382-0045
  • Fax: 929-306-7445
Mailing address:
  • Phone: 718-382-0045
  • Fax: 929-306-7445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: