Provider Demographics
NPI:1770948317
Name:ZUCKER, HYRA (LMHC, MS)
Entity type:Individual
Prefix:MRS
First Name:HYRA
Middle Name:
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:LMHC, MS
Other - Prefix:
Other - First Name:HYRA
Other - Middle Name:
Other - Last Name:KAMERAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, MS
Mailing Address - Street 1:99 MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-3109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3109
Practice Address - Country:US
Practice Address - Phone:347-754-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0063451101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health