Provider Demographics
NPI:1568873917
Name:ZAPATA PIMENTEL, MICHELLE (MA SP ED)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ZAPATA PIMENTEL
Suffix:
Gender:F
Credentials:MA SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ELINOR PL APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-8801
Mailing Address - Country:US
Mailing Address - Phone:201-926-0445
Mailing Address - Fax:
Practice Address - Street 1:29 ELINOR PL APT 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-8801
Practice Address - Country:US
Practice Address - Phone:201-926-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1157409174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist