Provider Demographics
NPI:1467801043
Name:ODESSKY, ZOYA (MSW)
Entity Type:Individual
Prefix:MS
First Name:ZOYA
Middle Name:
Last Name:ODESSKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 W 5TH ST
Mailing Address - Street 2:10F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3902
Mailing Address - Country:US
Mailing Address - Phone:718-795-8575
Mailing Address - Fax:
Practice Address - Street 1:2928 W 5TH ST
Practice Address - Street 2:10F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3902
Practice Address - Country:US
Practice Address - Phone:718-795-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool