Healthcare Provider Details

I. General information

NPI: 1346675717
Provider Name (Legal Business Name): INNA ZELTSER ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2797 OCEAN PKWY STE 1
BROOKLYN NY
11235-7868
US

IV. Provider business mailing address

2797 OCEAN PKWY STE 1
BROOKLYN NY
11235-7868
US

V. Phone/Fax

Practice location:
  • Phone: 718-615-4001
  • Fax: 718-615-4004
Mailing address:
  • Phone: 718-646-7081
  • Fax: 718-615-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number501705
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF306486-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: