Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 34708 | NY |
Y | 213EG0000X | General Practice | 34708 | NY |
NPI | 1003066648 |
---|---|
Provider Name | Dr. Rosemarie Zimmerman |
First Address | New York, NY 10019-1530 |
Second Address | New York, NY 10019-1530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 19/09/2008 |