Healthcare Provider Details
I. General information
NPI: 1649000977
Provider Name (Legal Business Name): ZITEL HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 ATLANTIC AVE
DEER PARK NY
11729-3107
US
IV. Provider business mailing address
61 ATLANTIC AVE
DEER PARK NY
11729-3107
US
V. Phone/Fax
- Phone: 631-897-4042
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTHER
ANYAEGBUNAM
Title or Position: OWNER
Credential: NP
Phone: 631-897-4042