Individual
JENNA ZUCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
622 W 168TH ST # VC-4, NEW YORK, NY 10032-3720
(212) 305-7259
Mailing address
622 W 168TH ST # VC-4, NEW YORK, NY 10032-3720
(718) 231-3400
(718) 655-3503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-333168
OTHER IDENTIFIER
—
Enumeration date
08/26/2014
Last updated
09/28/2020
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