Provider Demographics
NPI:1477397768
Name:FEILICH-GEVANTHOR, ZOE BETH
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:BETH
Last Name:FEILICH-GEVANTHOR
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 1:1276 LELAND DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3620
Mailing Address - Country:US
Mailing Address - Phone:914-659-0647
Mailing Address - Fax:
Practice Address - Street 1:150 HUGUENOT ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5204
Practice Address - Country:US
Practice Address - Phone:914-297-3495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047372-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker