Basic Information
| Provider Information | |||||||||
| NPI: | 1023789211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZWICK | ||||||||
| FirstName: | ISABELLE | ||||||||
| MiddleName: | ARMINDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 W 123RD ST APT 8F | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100275008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9177482195 | ||||||||
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| Practice Location | |||||||||
| Address1: | 514 49TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112202010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184312600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2021 | ||||||||
| LastUpdateDate: | 09/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 113813 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.