Provider Demographics
NPI:1740334739
Name:ZEITS, CAROL R (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:R
Last Name:ZEITS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:HOECKELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:181 HUDSON ST
Mailing Address - Street 2:APT 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-334-3203
Mailing Address - Fax:212-334-3203
Practice Address - Street 1:181 HUDSON ST
Practice Address - Street 2:APT 4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-334-3203
Practice Address - Fax:212-334-3203
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4435103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVM3451Medicare ID - Type Unspecified