MEDICARE: SYLVIA ZIMMERMAN

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
2	174400000X	Specialist	1339308	NY

General Provider Information

NPI Number	:	1922305648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA ZIMMERMAN

Provider Business Mailing Address
First Line	:	413 51ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1914
Country	:	US
Telephone Number	:	516-413-0476
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 51ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-1914
Country	:	US
Telephone Number	:	516-413-0476
Fax Number	:

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

Provider Enumeration Date	:	02/15/2011
Last Update Date	:	03/26/2019

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Directions to “ SYLVIA ZIMMERMAN ” Practice Location

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