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Organization

STEPHEN I. ZIMMERMAN, PH.D., P.T., P.C.

Active
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Organization

STEPHEN I. ZIMMERMAN, PH.D., P.T., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN I. ZIMMERMAN P.T., D.P.T., PH.D. (PRESIDENT)
(516) 377-7964
Entity
Organization

Contact information

Practice address
2421 GRAND AVE, BALDWIN, NY 11510-3219
(516) 377-7964
(516) 377-7760
Mailing address
2421 GRAND AVE, BALDWIN, NY 11510-3219
(516) 377-7964
(516) 377-7760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003994-1
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 PROVIDER #
NY
01
5120L
CIGNA ORTHONET PROVIDER #
NY
01
5C7329
HEALTHNET PROVIDER #
NY
01
6698763
GHI PROVIDER #
NY
01
AZ00575
MDNY PROVIDER #
NY
01
QM8451
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
01/16/2007
Last updated
12/04/2007
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