Individual
MS. AMY I. ZELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
(914) 949-3525
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083491
NY
1041C0700X
Clinical Social Worker
084178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
ANGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
132793295
AGENCY TAX ID
NY
01
—
WVE061
ANGENCY MEDICARE ID
NY
Enumeration date
09/29/2010
Last updated
10/02/2015
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