MICHAEL R ZUCKMAN M.D. P.C. NPI 1568474278

NPI Information

NPI: 1568474278
Provider Name: MICHAEL R ZUCKMAN, M.D., P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4103 QUEENS BLVD
SUNNYSIDE, NY
ZIP 11104
Phone: (718) 361-5261
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MICHAEL R ZUCKMAN, M.D., P.C. is a primary care clinic center in Sunnyside, NY. MICHAEL R ZUCKMAN, M.D., P.C. NPI is 1568474278. The provider is registered as an organization entity type.

The provider's business location address is:

4103 QUEENS BLVD
SUNNYSIDE, NY
ZIP 11104-801
Phone: (718) 361-5261
Fax: (718) 361-5266

The provider's authorized official is Michael Robert Zuckman .
The authorized official title is President and has the following contact phone number (718) 361-5261.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 9/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	174617	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03247	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	01167986	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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