Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 006794 | NY |
N | 222Z00000X | Podiatrist | 006794 | NY |
Y | 213E00000X | Podiatrist | 25MD00332300 | NJ |
Y | 222Z00000X | Podiatrist | 25MD00332300 | NJ |
NPI | 1023454618 |
---|---|
Provider Name | Annie Zeb |
First Address | Staten Island, NY 10305-3305 |
Second Address | Staten Island, NY 10305-3436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2013 |
Last Update Date | 09/02/2021 |