Provider Demographics
NPI:1093735748
Name:ZALAYET, JILL A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:A
Last Name:ZALAYET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 93RD ST
Mailing Address - Street 2:APT 31J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5515
Mailing Address - Country:US
Mailing Address - Phone:917-597-7120
Mailing Address - Fax:
Practice Address - Street 1:250 5TH AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6405
Practice Address - Country:US
Practice Address - Phone:212-537-6419
Practice Address - Fax:212-532-5125
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0687581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical