Individual
DAVID ZUCKERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GRASSLANDS RD, WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595
(914) 493-7656
(914) 493-8261
Mailing address
5 LONG POND RD, WACCABUC, NY 10597-1014
(914) 763-9616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
190698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109857
GHI HMO PIN #
—
01
—
01488564
GHI PPO PIN #
—
01
—
061009000084
FIDELIS CARE OF NY
—
01
—
10039781
CDPHP PIN #
—
01
—
1082120
AETNA HMO PIN #
—
01
—
1526Q1
EMPIRE BC BS
—
01
—
4147748
MVP HEALTHPLAN PIN#
—
01
—
5C7520
HEALTHNET PIN #
—
01
—
7152520
AETNA PPO PIN#
—
01
—
P2830825
OXFORD HEALTH PIN#
—
Enumeration date
09/14/2005
Last updated
05/02/2008
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