Provider Demographics
NPI:1043688443
Name:ZAJAC, KATYA CALAFIORE (MAAT)
Entity Type:Individual
Prefix:
First Name:KATYA
Middle Name:CALAFIORE
Last Name:ZAJAC
Suffix:
Gender:F
Credentials:MAAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 WHITNEY AVE
Mailing Address - Street 2:3A
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2368
Mailing Address - Country:US
Mailing Address - Phone:860-306-3869
Mailing Address - Fax:
Practice Address - Street 1:492 WHITNEY AVE
Practice Address - Street 2:3A
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2368
Practice Address - Country:US
Practice Address - Phone:860-306-3869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist