Individual
DR. CHARLES W ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
570 PARK AVE, NEW YORK, NY 10065-7343
(212) 758-3905
(212) 308-0464
Mailing address
570 PARK AVE, NEW YORK, NY 10065-7343
(212) 758-3905
(212) 308-0464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030714
NY
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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