Provider Demographics
NPI:1639316649
Name:ZOLA-MULLOY, GLORIA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:
Last Name:ZOLA-MULLOY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:
Other - Last Name:ZOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:P.O. BOX 548
Mailing Address - Street 2:
Mailing Address - City:FLEISCHMANNS
Mailing Address - State:NY
Mailing Address - Zip Code:12430-0548
Mailing Address - Country:US
Mailing Address - Phone:845-254-4998
Mailing Address - Fax:845-254-4998
Practice Address - Street 1:1620 COUNTY HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:FLEISCHMANNS
Practice Address - State:NY
Practice Address - Zip Code:12430-0548
Practice Address - Country:US
Practice Address - Phone:845-254-4998
Practice Address - Fax:845-254-4998
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO37566-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor