Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 643585121 | NY |
NPI | 1013374370 |
---|---|
Provider Name | Mr. Anthony Zephir |
First Address | Brooklyn, NY 11218-5459 |
Second Address | Brooklyn, NY 11218-5465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2016 |
Last Update Date | 18/01/2016 |