Provider Demographics
NPI:1255670048
Name:ZAMBITO, JESSICA LEE (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:LEE
Last Name:ZAMBITO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W 43RD ST
Mailing Address - Street 2:APT 5M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4304
Mailing Address - Country:US
Mailing Address - Phone:631-353-5210
Mailing Address - Fax:
Practice Address - Street 1:520 W 43RD ST
Practice Address - Street 2:APT 5M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4304
Practice Address - Country:US
Practice Address - Phone:631-353-5210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017860225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics