Healthcare Provider Details

I. General information

NPI: 1184544264
Provider Name (Legal Business Name): YADIRA ALEJANDRA ZHINDON LCAT-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAPLE AVE STE 201
SMITHTOWN NY
11787-3520
US

IV. Provider business mailing address

101 HAZEL ST
NORTH BELLMORE NY
11710-2401
US

V. Phone/Fax

Practice location:
  • Phone: 631-306-4284
  • Fax: 833-466-1989
Mailing address:
  • Phone: 631-306-4284
  • Fax: 833-466-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: