Provider Demographics
NPI:1225706856
Name:ZEMNICK, SHERRY (MHC-LP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:ZEMNICK
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 SYCAMORE AVE STE 39
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-1736
Mailing Address - Country:US
Mailing Address - Phone:914-294-4660
Mailing Address - Fax:631-333-7888
Practice Address - Street 1:1650 SYCAMORE AVE STE 39
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-1736
Practice Address - Country:US
Practice Address - Phone:914-294-4660
Practice Address - Fax:631-333-7888
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP106577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health