Provider Demographics
NPI:1730665571
Name:ZALTA, SAUL M
Entity Type:Individual
Prefix:MR
First Name:SAUL
Middle Name:M
Last Name:ZALTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 FRONT ST STE 212
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1154
Mailing Address - Country:US
Mailing Address - Phone:347-391-1230
Mailing Address - Fax:
Practice Address - Street 1:147 FRONT ST STE 212
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1154
Practice Address - Country:US
Practice Address - Phone:347-391-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health