Provider Demographics
NPI:1336323419
Name:MEYERS, ZELDA CHAIT
Entity Type:Individual
Prefix:MRS
First Name:ZELDA
Middle Name:CHAIT
Last Name:MEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ZELDA
Other - Middle Name:
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:177 POND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2468
Mailing Address - Country:US
Mailing Address - Phone:516-482-2939
Mailing Address - Fax:
Practice Address - Street 1:177 POND VIEW DR
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2468
Practice Address - Country:US
Practice Address - Phone:516-482-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO34071-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical