MEDICARE: JEFF ENRIQUE ZAMORA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	3132272	NY

General Provider Information

NPI Number	:	1255274791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFF ENRIQUE ZAMORA

Provider Business Mailing Address
First Line	:	2625 E 14TH ST STE 209
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3973
Country	:	US
Telephone Number	:	516-312-1981
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 E 14TH ST STE 209
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3973
Country	:	US
Telephone Number	:	516-312-1981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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