MEDICARE: ZOMELY GRULLON

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	P139094	NY

General Provider Information

NPI Number	:	1669327581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOMELY GRULLON

Provider Business Mailing Address
First Line	:	62A BAINBRIDGE ST APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-1708
Country	:	US
Telephone Number	:	914-885-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 N 12TH ST STE 817
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-1002
Country	:	US
Telephone Number	:	914-522-2304
Fax Number	:	888-276-8278

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1518003318 — DR. STEVEN SHANE KONRAD M.D.
Practice Location Address:

109 N 12TH ST STE 507
BROOKLYN, NY
11249-1002

Practice Phone: 443-804-7120
Practice Fax: 844-662-3744

1831395300 — DR. ISAAC ROBERT NAGEL M.D.
Practice Location Address:

109 N 12TH ST STE 704
BROOKLYN, NY
11249-1002

Practice Phone: 844-384-2779
Practice Fax:

1265639611 — DR. VARENDRA JHANAK GOSEIN M.D.
Practice Location Address:

109 N 12TH ST STE 507
BROOKLYN, NY
11249-1002

Practice Phone: 415-917-3772
Practice Fax:

1528375029 — DR. NAOMI BEN-AMI PSY.D.
Practice Location Address:

109 N 12TH ST STE 507
BROOKLYN, NY
11249-1002

Practice Phone: 202-215-1999
Practice Fax:

1831489186 — DR. DANIEL SELLING PSYD
Practice Location Address:

109 N 12TH ST
BROOKLYN, NY
11249-1002

Practice Phone: 718-757-7033
Practice Fax:

1275887945 — JULIA THEODORA HUFF WHNP, PMHNP
Practice Location Address:

109 N 12TH ST STE 827
BROOKLYN, NY
11249-1002

Practice Phone: 929-367-7419
Practice Fax:

Directions to “ ZOMELY GRULLON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.