MEDICARE: DR. DAVID A ZELMAN D.O.

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	2085R0202X	Diagnostic Radiology Physician	25MB09273700	NJ
2	2085R0202X	Diagnostic Radiology Physician	265012	NY

General Provider Information

NPI Number	:	1346526829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A ZELMAN D.O.

Provider Business Mailing Address
First Line	:	P.O. BOX 21927
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2192
Country	:	US
Telephone Number	:	646-968-8690
Fax Number	:	877-888-7955

Provider Business Practice Location Address
First Line	:	1739 EAST 33RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4423
Country	:	US
Telephone Number	:	646-968-8690
Fax Number	:	877-888-7955

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	12/12/2019

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