Healthcare Provider Details

I. General information

NPI: 1235360561
Provider Name (Legal Business Name): JOSEPH ANTHONY ZAGAME LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 BROADWAY SUITE 806
NEW YORK NY
10010-6008
US

IV. Provider business mailing address

74 BROAD ST FL 3
NEW YORK NY
10004-2298
US

V. Phone/Fax

Practice location:
  • Phone: 917-524-9062
  • Fax: 212-505-3693
Mailing address:
  • Phone: 917-524-9062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number077981
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: