Individual
DR. JORDAN SPENCE ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2383 BELL BLVD, UPPER LEVEL, BAYSIDE, NY 11360-2053
(718) 423-0200
(718) 423-3134
Mailing address
2383 BELL BLVD, UPPER LEVEL, BAYSIDE, NY 11360-2053
(718) 423-0200
(718) 423-3134
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
168660
NY
Other
Enumeration date
09/15/2005
Last updated
07/08/2007
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