Look up the most recent NPI and PECOS records

Amy I. Zelaya

Social Worker

Behavioral Health & Social Service Providers

19 Greenridge Ave, White Plains, NY 10605-1201

PECOS Enrollment

Based on the most recent information from CMS, provider Amy I. Zelaya does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932418688
Provider Type
Individual
Full Name
Zelaya, Amy I.
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/29/2010
Last Updated
10/2/2015

Contact Information

Practice Location

19 Greenridge Ave, White Plains, NY 10605-1201

(914) 949-7680

(914) 949-3525

Mailing Location

1156 N Broadway, Yonkers, NY 10701-1108

(914) 965-3700

(914) 965-3883

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 083491 New York
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 084178 New York

Provider Identifiers

ID	Description	Issuer
ID 00355940	Description Other	Issuer ANGENCY MEDICAID # New York
ID 1285628552	Description Other	Issuer AGENCY NPI # New York
ID WVE061	Description Other	Issuer ANGENCY MEDICARE ID New York
ID 132793295	Description Other	Issuer AGENCY TAX ID New York

Amy I. Zelaya

PECOS Enrollment

Profile Details

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