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Individual

MR. STEPHEN I. ZIMMERMAN

Active
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Individual

MR. STEPHEN I. ZIMMERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T., D.P.T., PH.D.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003994-1
NY
2251E1300X
Clinical Electrophysiology Physical Therapist
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00336567
NY
01
0731899
CIGNA PROVIDER #
NY
01
145529P
HIP PROVIDER #
NY
01
259759
UNITED HEALTHCARE PROV. #
NY
01
46295
VYTRA
NY
01
51201
CIGNA/ORTHONET PROV. #
NY
01
6698763
GHI PROVIDER #
NY
01
AZ00575
MDNY PROVIDER #
NY
01
QM8451
EMPIRE BC/BS PROV. #
NY
Enumeration date
06/11/2005
Last updated
12/04/2007
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