| Michael R Zuckman, M.D., P.C. | |
|
4103 Queens Blvd Sunnyside NY 11104-2801 | |
| (718) 361-5261 | |
| (718) 361-5266 |
| Full Name | Michael R Zuckman, M.D., P.C. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4103 Queens Blvd, Sunnyside, New York |
| Authorized Official Name and Position | Michael Robert Zuckman (PRESIDENT) |
| Authorized Official Contact | 7183615261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Zuckman, M.D., P.C. 823 West St Harrison NY 10528-1216 Ph: (718) 361-5261 | Michael R Zuckman, M.D., P.C. 4103 Queens Blvd Sunnyside NY 11104-2801 Ph: (718) 361-5261 |
| NPI Number | 1568474278 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568474278 | NPI | - | NPPES |
| 01167986 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 174617 (New York) | Primary |
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