Provider Demographics
NPI:1225588908
Name:ZAITNZ, LINDA ROCHELLE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ROCHELLE
Last Name:ZAITNZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:KIMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1601 3RD AVE APT 10G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3454
Mailing Address - Country:US
Mailing Address - Phone:212-722-7581
Mailing Address - Fax:
Practice Address - Street 1:1601 3RD AVE APT 10G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3454
Practice Address - Country:US
Practice Address - Phone:212-722-7581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X, 103K00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist