Healthcare Provider Details

I. General information

NPI: 1891915260
Provider Name (Legal Business Name): JONATHAN STUART ZUCKER LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E 44TH ST SUITE 312
NEW YORK NY
10017-4422
US

IV. Provider business mailing address

310 E 44TH ST SUITE 312
NEW YORK NY
10017-4422
US

V. Phone/Fax

Practice location:
  • Phone: 914-393-8700
  • Fax:
Mailing address:
  • Phone: 914-393-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number071140
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: