Individual
DR. JOHN DAVID ZIMMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
454 DEER PARK AVE, BABYLON, NY 11702-2316
(631) 321-5440
Mailing address
454 DEER PARK AVE, BABYLON, NY 11702-2316
(631) 321-5440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
134845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00667354
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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