Healthcare Provider Details

I. General information

NPI: 1912382565
Provider Name (Legal Business Name): MS. CARLOTA ZITREEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 90TH ST SUITE 10 G
NEW YORK NY
10024-1234
US

IV. Provider business mailing address

200 W 90TH ST SUITE 10 G
NEW YORK NY
10024-1234
US

V. Phone/Fax

Practice location:
  • Phone: 646-338-5518
  • Fax:
Mailing address:
  • Phone: 646-338-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number371
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: