Provider Demographics
NPI:1952717829
Name:ZUCKERMAN, JANET RIVKIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:RIVKIN
Last Name:ZUCKERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MARBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1044
Mailing Address - Country:US
Mailing Address - Phone:914-777-1909
Mailing Address - Fax:
Practice Address - Street 1:875 MAMARONECK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1900
Practice Address - Country:US
Practice Address - Phone:914-777-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012116103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical