Provider Demographics
NPI:1336469857
Name:ZUBAREV, ABE (DHSC, DPS, BCD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ABE
Middle Name:
Last Name:ZUBAREV
Suffix:
Gender:M
Credentials:DHSC, DPS, BCD, LCSW
Other - Prefix:
Other - First Name:ABRAHAM
Other - Middle Name:
Other - Last Name:ZUBAREV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:442 5TH AVE STE 2096
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-2794
Mailing Address - Country:US
Mailing Address - Phone:917-740-3208
Mailing Address - Fax:
Practice Address - Street 1:442 5TH AVE STE 2096
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-2794
Practice Address - Country:US
Practice Address - Phone:917-740-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2023-07-19
Deactivation Date:2019-07-30
Deactivation Code:
Reactivation Date:2021-10-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker