Individual
CHRISTINA MICHELLE ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 BROADWAY, AMITYVILLE, NY 11701-2712
(631) 598-0009
Mailing address
40 AVENUE D, LAKE RONKONKOMA, NY 11779-1902
(631) 478-3125
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
027945
NY
363A00000X
Physician Assistant
Primary
027945-01
NY
Other
Enumeration date
02/24/2022
Last updated
03/27/2026
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