Organization
MICHAEL R ZUCKMAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT ZUCKMAN M.D. (PRESIDENT)
(718) 361-5261
Entity
Organization
Contact information
Practice address
4103 QUEENS BLVD, SUNNYSIDE, NY 11104-2801
(718) 361-5261
(718) 361-5266
Mailing address
823 WEST ST, HARRISON, NY 10528-1216
(718) 361-5261
(718) 361-5266
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
174617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01167986
—
NY
Enumeration date
08/12/2006
Last updated
09/14/2007
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