Healthcare Provider Details

I. General information

NPI: 1912671470
Provider Name (Legal Business Name): ALEKSANDRA ZUKOFF LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 5TH AVE RM 1108
NEW YORK NY
10016-6655
US

IV. Provider business mailing address

303 5TH AVE RM 1108
NEW YORK NY
10016-6655
US

V. Phone/Fax

Practice location:
  • Phone: 917-342-2611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014728
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: