Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 165863 | NY |
NPI | 1548598758 |
---|---|
Provider Name | A Ndrea Zuckerman |
First Address | Putnam Valley, NY 10579-1930 |
Second Address | Putnam Valley, NY 10579-1930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2009 |
Last Update Date | 18/09/2019 |