Healthcare Provider Details

I. General information

NPI: 1205297454
Provider Name (Legal Business Name): ERICA ZOLINAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 03/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARK ST
GLENS FALLS NY
12801-4413
US

IV. Provider business mailing address

100 PARK ST
GLENS FALLS NY
12801-4413
US

V. Phone/Fax

Practice location:
  • Phone: 518-926-3210
  • Fax: 518-926-3215
Mailing address:
  • Phone: 518-926-3210
  • Fax: 518-926-3215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096461
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: