Healthcare Provider Details

I. General information

NPI: 1851245997
Provider Name (Legal Business Name): DANIEL ZITO LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 MAIN ST
PORT JEFFERSON NY
11777-2227
US

IV. Provider business mailing address

45 LA BONNE VIE DR APT H
EAST PATCHOGUE NY
11772-4475
US

V. Phone/Fax

Practice location:
  • Phone: 631-802-2566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number125076-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: