Individual
DR. JEROME SAUL ZACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 PARK AVE, NEW YORK, NY 10128-1242
(212) 289-8400
(212) 876-6307
Mailing address
1120 PARK AVE, NEW YORK, NY 10128-1242
(212) 289-8400
(212) 876-6307
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
109597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00194523
—
NY
Enumeration date
12/27/2005
Last updated
10/04/2010
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