Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 206767 | NY |
NPI | 1013075068 |
---|---|
Provider Name | Dr. Abraham Joshua Zimm |
First Address | New York, NY 10028-1802 |
Second Address | New York, NY 10028-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 27/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H41315 | (02) | NY |