Provider Demographics
NPI:1417545591
Name:CONTIS, ZEV A
Entity Type:Individual
Prefix:MR
First Name:ZEV
Middle Name:A
Last Name:CONTIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 ELLERY ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5218
Mailing Address - Country:US
Mailing Address - Phone:814-574-1341
Mailing Address - Fax:
Practice Address - Street 1:210 JORALEMON ST FRNT 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3708
Practice Address - Country:US
Practice Address - Phone:347-799-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111420104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker