Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 220106-1 | NY |
NPI | 1003909235 |
---|---|
Provider Name | Dr. Michael Scott Zuckerman |
First Address | Roslyn, NY 11576-2419 |
Second Address | Hempstead, NY 11550-4364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00385135 | (05) | NY |
H54626 | (02) |