Individual
MRS. CAROLYN MAUREEN ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2000
Mailing address
124 JEFFERSON AVENUE, VALHALLA, NY 10595
(914) 946-1344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102949-1
NY
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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