Individual
MR. CHERYL E ZADEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HOWELLS RD, SUITE 2, BAY SHORE, NY 11706-5320
(631) 647-7885
(631) 647-7893
Mailing address
6 BELTANE DR, DIX HILLS, NY 11746-7813
(631) 424-7549
(631) 647-7893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011118-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02063885
—
NY
Enumeration date
04/05/2006
Last updated
07/08/2007
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