Healthcare Provider Details

I. General information

NPI: 1124903380
Provider Name (Legal Business Name): ABBY ZUCKERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 AUSTIN ST STE 200
FOREST HILLS NY
11375-4739
US

IV. Provider business mailing address

7000 AUSTIN ST STE 200
FOREST HILLS NY
11375-4739
US

V. Phone/Fax

Practice location:
  • Phone: 914-886-5364
  • Fax:
Mailing address:
  • Phone: 914-886-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number127469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: