Healthcare Provider Details

I. General information

NPI: 1053847723
Provider Name (Legal Business Name): ZOE BIRNBAUM FRANKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CHATSWORTH AVE STE 202
LARCHMONT NY
10538-2946
US

IV. Provider business mailing address

4 CHATSWORTH AVE STE 202
LARCHMONT NY
10538-2946
US

V. Phone/Fax

Practice location:
  • Phone: 914-809-0940
  • Fax:
Mailing address:
  • Phone: 914-809-0940
  • Fax: 928-268-0248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number295116
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: