Provider Demographics
NPI:1649887654
Name:ZEHAVA ZELL LLC
Entity type:Organization
Organization Name:ZEHAVA ZELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEHAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CDN, CDE
Authorized Official - Phone:917-825-1008
Mailing Address - Street 1:1447 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6703
Mailing Address - Country:US
Mailing Address - Phone:917-825-1008
Mailing Address - Fax:
Practice Address - Street 1:1447 E 17TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6703
Practice Address - Country:US
Practice Address - Phone:917-825-1008
Practice Address - Fax:718-701-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty