Provider Demographics
NPI:1831903418
Name:MESHACK, ZAKAYO
Entity type:Individual
Prefix:
First Name:ZAKAYO
Middle Name:
Last Name:MESHACK
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 1:40 MORNINGSIDE AVE APT 64
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1042
Mailing Address - Country:US
Mailing Address - Phone:917-334-5082
Mailing Address - Fax:
Practice Address - Street 1:40 MORNINGSIDE AVE APT 64
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1042
Practice Address - Country:US
Practice Address - Phone:917-334-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health