Organization
IRENE ZIDE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE ZIDE MD (OWNER)
(516) 371-0517
Entity
Organization
Contact information
Practice address
290 CENTRAL AVE, SUITE 202, LAWRENCE, NY 11559-8507
(516) 371-0517
(516) 371-0519
Mailing address
290 CENTRAL AVE, SUITE 202, LAWRENCE, NY 11559-8507
(516) 371-0517
(516) 371-0519
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
151719
NY
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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