Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD470384 | PA |
NPI | 1235540592 |
---|---|
Provider Name | Dr. Jason Lee Ziplow |
First Address | New York, NY 10016-8166 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 26/06/2020 |