Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1300X | Human Factors | 013877-1 | NY |
N | 225XH1300X | Human Factors | 013877-1 | NY |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 013877-1 | NY |
NPI | 1033349717 |
---|---|
Provider Name | Mr. Tal Joseph Zimm |
First Address | Fresh Meadows, NY 11366-1337 |
Second Address | Brooklyn, NY 11219-5026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 30/12/2013 |