Individual
DR. GERALD ZUPNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 HAMPTON RD, PORT WASHINGTON, NY 11050-3008
(516) 439-8001
Mailing address
15 HAMPTON RD, PORT WASHINGTON, NY 11050-3008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00485332
—
NY
Enumeration date
10/31/2006
Last updated
08/14/2007
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