Healthcare Provider Details

I. General information

NPI: 1942970249
Provider Name (Legal Business Name): LINDSEY ZELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PINEWILD DR
ROCHESTER NY
14606-4200
US

IV. Provider business mailing address

100 KINGS HWY S
ROCHESTER NY
14617-5504
US

V. Phone/Fax

Practice location:
  • Phone: 585-368-6700
  • Fax: 585-368-6767
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014944
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: