Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | X004624-1 | NY |
NPI | 1285857169 |
---|---|
Provider Name | Dr. Ronni M Zorn |
First Address | Lynbrook, NY 11563 |
Second Address | Lynbrook, NY 11563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |