Provider Demographics
NPI:1851973663
Name:ZELTSER, SVETLANA (FNP)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:ZELTSER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:SVETLANA
Other - Middle Name:
Other - Last Name:ZELTSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:132 HALPIN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3209 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7072
Practice Address - Country:US
Practice Address - Phone:718-265-0005
Practice Address - Fax:718-265-2410
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF34723401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily