Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 035388-2 | NY |
Y | 213EG0000X | General Practice | 035388-2 | NY |
NPI | 1003930652 |
---|---|
Provider Name | Dr. Jeffrey Ira Zwillinger |
First Address | East Setauket, NY 11733-1955 |
Second Address | East Setauket, NY 11733-1955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |