Provider Demographics
NPI:1538516315
Name:ZARETZKY, TERRI
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:ZARETZKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:
Other - Last Name:PHILIPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL & REG ED
Mailing Address - Street 1:18 SPARROW LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-3207
Mailing Address - Country:US
Mailing Address - Phone:516-987-4472
Mailing Address - Fax:
Practice Address - Street 1:18 SPARROW LN
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-3207
Practice Address - Country:US
Practice Address - Phone:516-987-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst