Provider Demographics
NPI:1629379052
Name:ZAIDOFF, ZAHAVA (CSAC, M-RAS)
Entity Type:Individual
Prefix:MS
First Name:ZAHAVA
Middle Name:
Last Name:ZAIDOFF
Suffix:
Gender:F
Credentials:CSAC, M-RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-1035
Mailing Address - Country:US
Mailing Address - Phone:760-317-6078
Mailing Address - Fax:
Practice Address - Street 1:82-996 ANOI PL
Practice Address - Street 2:
Practice Address - City:CAPTAIN COOK
Practice Address - State:HI
Practice Address - Zip Code:96704-8239
Practice Address - Country:US
Practice Address - Phone:808-626-5054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator