Healthcare Provider Details

I. General information

NPI: 1699231597
Provider Name (Legal Business Name): ARIANA ZSUFFA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 JUDITH CT
EAST ROCKAWAY NY
11518-1607
US

IV. Provider business mailing address

8 JUDITH CT
EAST ROCKAWAY NY
11518-1607
US

V. Phone/Fax

Practice location:
  • Phone: 917-623-0658
  • Fax:
Mailing address:
  • Phone: 917-623-0658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number098818
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089135-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: