Organization
Z MEDICAL NYC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WALLERSON M.D. (OWNER)
(646) 884-0133
Entity
Organization
Contact information
Practice address
1702 AVENUE Z, SUITE 206, BROOKLYN, NY 11235-3655
(646) 884-0133
Mailing address
1702 AVENUE Z, SUITE 206, BROOKLYN, NY 11235-3655
(646) 884-0133
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
144699
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01042442
—
NY
Enumeration date
10/22/2015
Last updated
10/22/2015
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