Provider Demographics
NPI:1346675717
Name:ZELTSER, INNA (ANP)
Entity Type:Individual
Prefix:MRS
First Name:INNA
Middle Name:
Last Name:ZELTSER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 E 13TH ST
Mailing Address - Street 2:APT. 2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4452
Mailing Address - Country:US
Mailing Address - Phone:718-646-7081
Mailing Address - Fax:
Practice Address - Street 1:2650 E 13TH ST
Practice Address - Street 2:APT. 2A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4452
Practice Address - Country:US
Practice Address - Phone:718-646-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY501705163WG0000X
NYF306486-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice