Healthcare Provider Details

I. General information

NPI: 1124804950
Provider Name (Legal Business Name): ALAIN ZAGORIN LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E 42ND ST STE 40-12
NEW YORK NY
10165-0006
US

IV. Provider business mailing address

30 W 60TH ST FL 4
NEW YORK NY
10023-7902
US

V. Phone/Fax

Practice location:
  • Phone: 646-798-2722
  • Fax:
Mailing address:
  • Phone: 917-930-9345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP118621
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: