Herzberg, Zipora

Herzberg, Zipora is an sole proprietor health care provider with primary practice located at 30 Westover Pl , Lawrence NY 11559-1730. She recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herzberg, Zipora can be contacted via phone (516) 239-6770.

Contact Information

Primary practice address
30 Westover Pl Lawrence NY 11559-1730
Phone: (516) 239-6770
Fax: (516) 239-6770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8589 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8589 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 8589 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8589 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 8589 New York
Behavioral Health & Social Service Providers / Family 103TF0000X 8589 New York
Behavioral Health & Social Service Providers / Forensic 103TF0200X 8589 New York
Behavioral Health & Social Service Providers / Health Service 103TH0100X 8589 New York
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 8589 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 85889 New York
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 8589 New York
Behavioral Health & Social Service Providers / School 103TS0200X 8589 New York

Profile Details

NPI number 1477533420
LBN Legal business name Herzberg, Zipora
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Apr 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477533420 NPPES
New York MEDICAID 01584803

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