Provider Demographics
NPI:1851902068
Name:BEN ESSA, ZAINAH
Entity Type:Individual
Prefix:
First Name:ZAINAH
Middle Name:
Last Name:BEN ESSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W 52ND ST APT 21J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5299
Mailing Address - Country:US
Mailing Address - Phone:310-666-2152
Mailing Address - Fax:
Practice Address - Street 1:153 W 27TH ST STE 300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6259
Practice Address - Country:US
Practice Address - Phone:917-283-0783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP106319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health