Provider Demographics
NPI:1841660248
Name:ZENDEGUI, ELAINA
Entity type:Individual
Prefix:
First Name:ELAINA
Middle Name:
Last Name:ZENDEGUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BLOOMINGDALE RD
Mailing Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL--WESTCHESTER DIV. OPD
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1504
Mailing Address - Country:US
Mailing Address - Phone:914-997-4036
Mailing Address - Fax:914-682-6964
Practice Address - Street 1:21 BLOOMINGDALE RD
Practice Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL--WESTCHESTER DIV. OPD
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1504
Practice Address - Country:US
Practice Address - Phone:914-997-4036
Practice Address - Fax:914-682-6964
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP99186103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical