Healthcare Provider Details

I. General information

NPI: 1194635060
Provider Name (Legal Business Name): CLAIRE ZLOTNICKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 BLEECKER ST FL 2
NEW YORK NY
10012-1457
US

IV. Provider business mailing address

159 BLEECKER ST FL 2
NEW YORK NY
10012-1457
US

V. Phone/Fax

Practice location:
  • Phone: 917-831-5900
  • Fax:
Mailing address:
  • Phone: 917-831-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P145701-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: