Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 093067 | NY |
NPI | 1003210527 |
---|---|
Provider Name | Brian Zeman |
First Address | New York, NY 10016-6925 |
Second Address | New York, NY 10002-2924 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2014 |
Last Update Date | 17/07/2015 |