Healthcare Provider Details

I. General information

NPI: 1316649536
Provider Name (Legal Business Name): LAURA ELIZABETH ZAPPIA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 OLD RIVERHEAD RD
WESTHAMPTON BEACH NY
11978-1206
US

IV. Provider business mailing address

25 GLEN HOLLOW DR APT H28
HOLTSVILLE NY
11742-2464
US

V. Phone/Fax

Practice location:
  • Phone: 631-288-6400
  • Fax:
Mailing address:
  • Phone: 516-668-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number117765-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: