Provider Demographics
NPI:1104987643
Name:ZION, ROBIN (MSW)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:ZION
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E PENN ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3711
Mailing Address - Country:US
Mailing Address - Phone:516-897-5210
Mailing Address - Fax:
Practice Address - Street 1:625 E PENN ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3711
Practice Address - Country:US
Practice Address - Phone:516-897-5210
Practice Address - Fax:516-897-9720
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR029361-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN38571Medicare ID - Type Unspecified