Provider Demographics
NPI:1528185485
Name:ZAL, ELI (LCSW)
Entity Type:Individual
Prefix:
First Name:ELI
Middle Name:
Last Name:ZAL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 EAST 10TH STREET
Mailing Address - Street 2:SUITE 1 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-228-3496
Mailing Address - Fax:
Practice Address - Street 1:25 EAST 10TH STREET
Practice Address - Street 2:SUITE 1 E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-228-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047079-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR047079-1OtherL.C.S.W.
NYN38861Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORK