Healthcare Provider Details

I. General information

NPI: 1871901942
Provider Name (Legal Business Name): KATHERINE ZUCCARO LMHC, MA, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 E OLD COUNTRY RD
HICKSVILLE NY
11801-4292
US

IV. Provider business mailing address

75 LEXINGTON AVE
WESTBURY NY
11590-4307
US

V. Phone/Fax

Practice location:
  • Phone: 516-698-9080
  • Fax: 516-584-6748
Mailing address:
  • Phone: 516-698-9080
  • Fax: 516-584-6748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number005927
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: