Individual
ROBERT ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
167 LINCOLN PLACE, BROOKLYN, NY 11217
(718) 768-2553
Mailing address
167 LINCOLN PLACE, BROOKLYN, NY 11217
(718) 768-2553
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005287-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01521360
—
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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