Healthcare Provider Details

I. General information

NPI: 1235323346
Provider Name (Legal Business Name): MARIANNA ZELTSER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 WEST END AVENUE SUITE 1N
NEW YORK NY
10023
US

IV. Provider business mailing address

160 WEST END AVENUE SUITE 1N
NEW YORK NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 347-424-7537
  • Fax:
Mailing address:
  • Phone: 347-424-7537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003637-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: