Organization
MARK J. ZUCKERMAN, PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J. ZUCKERMAN M.D. (PHYSICIAN)
(631) 360-3366
Entity
Organization
Contact information
Practice address
363 ROUTE 111, SUITE 102, SMITHTOWN, NY 11787-4756
(631) 360-3366
(631) 360-3380
Mailing address
373 ROUTE 111, SUITE 20, SMITHTOWN, NY 11787-4759
(631) 360-3366
(631) 360-3380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
171222
NY
Other
Enumeration date
05/01/2009
Last updated
06/01/2015
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