Healthcare Provider Details

I. General information

NPI: 1245140532
Provider Name (Legal Business Name): MARIA ZAMMIT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 HOLLY AVE FL 2
STATEN ISLAND NY
10308-2348
US

IV. Provider business mailing address

161 HOLLY AVE FL 2
STATEN ISLAND NY
10308-2348
US

V. Phone/Fax

Practice location:
  • Phone: 917-525-6779
  • Fax:
Mailing address:
  • Phone: 917-525-6779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: