Healthcare Provider Details

I. General information

NPI: 1710820048
Provider Name (Legal Business Name): STEVEN C ZARRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 TERRY AVE
LAKE GROVE NY
11755-3200
US

IV. Provider business mailing address

24 TERRY AVE
LAKE GROVE NY
11755-3200
US

V. Phone/Fax

Practice location:
  • Phone: 631-338-7407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408799
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: