Provider Demographics
NPI:1902205578
Name:ZAHLER, BAYLA
Entity Type:Individual
Prefix:MS
First Name:BAYLA
Middle Name:
Last Name:ZAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:BAYLA
Other - Middle Name:
Other - Last Name:ZAHLER-CZERTOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3660 OXFORD AVE
Mailing Address - Street 2:APT 4C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1728
Mailing Address - Country:US
Mailing Address - Phone:917-436-9077
Mailing Address - Fax:
Practice Address - Street 1:5901 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1205
Practice Address - Country:US
Practice Address - Phone:718-581-1290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017407-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist