Jordan Spence Zuckerman M.D.

NPI 1043205016 - Dermatology - 207NS0135X

NPI Details
NPI 1043205016
Gender Male
Enumeration Date 09/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2383 BELL BLVD
UPPER LEVEL
BAYSIDE NY, 11360-2053, US
Phone (718) 423-0200
Fax (718) 423-3134
Business Location
2383 BELL BLVD
UPPER LEVEL
BAYSIDE NY, 11360-2053, US
Phone (718) 423-0200
Fax (718) 423-3134
Toxanomy
Taxonomy Code 207NS0135X
License State New York
License Number 168660
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According to our database, Dr. Jordan Spence Zuckerman M.D. NPI is 1043205016, taxonomy code is 207NS0135X and license number is 168660, license state is located at New York. Jordan Spence Zuckerman M.D. physically located at 2383 Bell Blvd, Bayside NY, 11360-2053. NPI Number Jordan Spence Zuckerman M.D. has the Individual type.

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1043205016 NPI number is provided on an as is basis without warranty of any kind. 1043205016 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Spence Zuckerman M.D. are for informational purposes only.