Provider Demographics
NPI:1215285242
Name:ZAMBITO, PATRICIA (LMHC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:ZAMBITO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 100
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:NY
Mailing Address - Zip Code:14058
Mailing Address - Country:US
Mailing Address - Phone:585-356-8007
Mailing Address - Fax:
Practice Address - Street 1:50 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:NY
Practice Address - Zip Code:14058
Practice Address - Country:US
Practice Address - Phone:585-356-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004965-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health