Individual
MEREDITH ZICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(718) 260-2920
Mailing address
22 CHAPEL ST, BROOKLYN, NY 11201-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R054795
NY
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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