Provider Demographics
NPI:1710642277
Name:ZAYAS, CONNIE (MSW)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:ZAYAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E 19TH ST APT 1M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7321
Mailing Address - Country:US
Mailing Address - Phone:267-693-2490
Mailing Address - Fax:
Practice Address - Street 1:MOUNT SINAI
Practice Address - Street 2:1 GUSTAVE L LEVY PL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:646-618-3021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker