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NPI Code Detail

MEDICARE: DR. ZACHARY SIMON LOCKERMAN MD

MEDICARE:  DR. ZACHARY SIMON LOCKERMAN  MD
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
1207RG0100XGastroenterology Physician150679NY

General Provider Information

NPI Number : 1558313510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY SIMON LOCKERMAN MD
Provider Business Mailing Address
First Line : 1332 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 718-972-9115
Fax Number :
Provider Business Practice Location Address
First Line : 1332 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2108
Country : US
Telephone Number : 718-972-9115
Fax Number : 718-972-4461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ZACHARY SIMON LOCKERMAN MD” Practice Location

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