Provider Demographics
NPI:1871018994
Name:ZEBROWSKI, DARIUSZ
Entity Type:Individual
Prefix:
First Name:DARIUSZ
Middle Name:
Last Name:ZEBROWSKI
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 1:3109 49TH ST APT 6A
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1312
Mailing Address - Country:US
Mailing Address - Phone:347-730-9664
Mailing Address - Fax:
Practice Address - Street 1:50 NEVINS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1004
Practice Address - Country:US
Practice Address - Phone:718-855-4035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty