Healthcare Provider Details

I. General information

NPI: 1922911635
Provider Name (Legal Business Name): VZAKEINU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BROADWAY
BROOKLYN NY
11211-1740
US

IV. Provider business mailing address

500 BROADWAY STE 326
BROOKLYN NY
11211-7494
US

V. Phone/Fax

Practice location:
  • Phone: 718-218-4595
  • Fax:
Mailing address:
  • Phone: 718-218-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHUNA WAGSCHAL
Title or Position: RABBI
Credential:
Phone: 917-853-1992