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NPI Code Detail

MEDICARE: SETH DARRYL ZITWER DO

MEDICARE: SETH DARRYL ZITWER DO
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
1207Q00000XFamily Medicine Physician175808NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326008749
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH DARRYL ZITWER DO
Provider Business Mailing Address
First Line : PO BOX 14890
Second Line :
City : ALBANY
State : NY
Zip : 12212-4890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 EMPIRE DR
Second Line : SUITE 100
City : RENSSELAER
State : NY
Zip : 12144-5730
Country : US
Telephone Number : 518-286-4899
Fax Number : 518-286-4859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 06/02/2021

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Directions to “ SETH DARRYL ZITWER DO” Practice Location

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