MEDICARE: VICTOR ZELEK PH.D.

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	103G00000X	Clinical Neuropsychologist	013910-1	NY
2	103T00000X	Psychologist	013910-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	394072	OTHER	NY	MVP HEALTHCARE INSURANCE

General Provider Information

NPI Number	:	1952330094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR ZELEK PH.D.

Provider Business Mailing Address
First Line	:	1 W BARD AVE
Second Line	:
City	:	RED HOOK
State	:	NY
Zip	:	12571-1109
Country	:	US
Telephone Number	:	646-831-4882
Fax Number	:	845-876-8850

Provider Business Practice Location Address
First Line	:	22 GARDEN ST
Second Line	:	SUITE #4
City	:	RHINEBECK
State	:	NY
Zip	:	12572-1300
Country	:	US
Telephone Number	:	845-876-8845
Fax Number	:	845-876-8850

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

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	09/11/2025

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Directions to “ VICTOR ZELEK PH.D.” Practice Location

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