Provider Demographics
NPI:1275645681
Name:SIZGORIC, ZOIA S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ZOIA
Middle Name:S
Last Name:SIZGORIC
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 1:9238 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1040
Mailing Address - Country:US
Mailing Address - Phone:718-275-8117
Mailing Address - Fax:718-275-8119
Practice Address - Street 1:9238 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1040
Practice Address - Country:US
Practice Address - Phone:718-275-8117
Practice Address - Fax:718-275-8119
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0523641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06000Medicare ID - Type UnspecifiedMEDICARE NUMBER