Provider Demographics
NPI:1407241847
Name:ZIMBLER, NORA
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:
Last Name:ZIMBLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 11TH ST
Mailing Address - Street 2:GARDEN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4304
Mailing Address - Country:US
Mailing Address - Phone:917-561-4280
Mailing Address - Fax:
Practice Address - Street 1:522 11TH ST
Practice Address - Street 2:GARDEN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4304
Practice Address - Country:US
Practice Address - Phone:917-561-4280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0825111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical