Provider Demographics
NPI:1164895777
Name:ZULUETA, INES (MHC)
Entity Type:Individual
Prefix:MS
First Name:INES
Middle Name:
Last Name:ZULUETA
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E 106TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4654
Mailing Address - Country:US
Mailing Address - Phone:212-966-9537
Mailing Address - Fax:212-584-5450
Practice Address - Street 1:598 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3363
Practice Address - Country:US
Practice Address - Phone:212-966-9537
Practice Address - Fax:212-584-5450
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health