Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 159075 | NY |
NPI | 1073505384 |
---|---|
Provider Name | Dr. Jeffrey Zauderer |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Garden City, NY 11530-4822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 04/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E01938 | (02) |