Healthcare Provider Details

I. General information

NPI: 1346714557
Provider Name (Legal Business Name): BRIAN ZAMBRZYCKI MSED, MA, CAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 MAMARONECK AVE STE 150
WHITE PLAINS NY
10605-5222
US

IV. Provider business mailing address

1311 MAMARONECK AVE STE 150
WHITE PLAINS NY
10605-5222
US

V. Phone/Fax

Practice location:
  • Phone: 914-328-2868
  • Fax: 914-328-2973
Mailing address:
  • Phone: 914-328-2868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1412438
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: