Healthcare Provider Details

I. General information

NPI: 1831209857
Provider Name (Legal Business Name): ZARNA U SHAH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD COUNTRY RD STE 315
GARDEN CITY NY
11530-1944
US

IV. Provider business mailing address

2 HILLSIDE AVE STE E
WILLISTON PARK NY
11596-2308
US

V. Phone/Fax

Practice location:
  • Phone: 516-243-9480
  • Fax:
Mailing address:
  • Phone: 516-921-0985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number069432-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: