Individual
ZEVI W ISSEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3003 NEW HYDE PARK RD, SUITE 201, NEW HYDE PARK, NY 11042-1214
(718) 639-0499
(718) 639-2268
Mailing address
55-31 69TH ST, MASPETH, NY 11378-1806
(718) 639-0499
(718) 639-2268
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00417276
—
NY
Enumeration date
07/12/2005
Last updated
11/11/2019
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