MEDICARE: LUCREZIA ZANCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	012035	NY
2	174400000X	Specialist

General Provider Information

NPI Number	:	1184148454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCREZIA ZANCA

Provider Business Mailing Address
First Line	:	15913 85TH ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3026
Country	:	US
Telephone Number	:	917-982-0618
Fax Number	:

Provider Business Practice Location Address
First Line	:	22041 UNION TPKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3542
Country	:	US
Telephone Number	:	917-982-0618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2017
Last Update Date	:	07/13/2025

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Directions to “ LUCREZIA ZANCA ” Practice Location

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