Provider Demographics
NPI:1740225341
Name:ZENER, EMY L (LCSW-R)
Entity Type:Individual
Prefix:
First Name:EMY
Middle Name:L
Last Name:ZENER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 FT WASHINGTON AVE
Mailing Address - Street 2:STE 1J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3948
Mailing Address - Country:US
Mailing Address - Phone:212-786-5325
Mailing Address - Fax:
Practice Address - Street 1:630 FT WASHINGTON AVE
Practice Address - Street 2:STE 1J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3948
Practice Address - Country:US
Practice Address - Phone:212-786-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR069722-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN53251Medicare PIN