Healthcare Provider Details

I. General information

NPI: 1861406811
Provider Name (Legal Business Name): KAREN ZAGER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN M ZAGER PH.D.

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 05/13/2021
Certification Date: 04/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 HEATH PL
HASTINGS ON HUDSON NY
10706-3609
US

IV. Provider business mailing address

112 HEATH PL
HASTINGS ON HUDSON NY
10706-3609
US

V. Phone/Fax

Practice location:
  • Phone: 914-478-4658
  • Fax: 914-819-0239
Mailing address:
  • Phone: 914-478-4658
  • Fax: 914-478-7454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6809
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: