Healthcare Provider Details

I. General information

NPI: 1114270592
Provider Name (Legal Business Name): ORANIT ZUCKERMAN CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 LAKEVILLE RD
GREAT NECK NY
11020-1620
US

IV. Provider business mailing address

270 LAKEVILLE RD
GREAT NECK NY
11020-1620
US

V. Phone/Fax

Practice location:
  • Phone: 516-547-0977
  • Fax: 516-466-2788
Mailing address:
  • Phone: 516-547-0977
  • Fax: 516-466-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number068097
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: