MEDICARE: REBECCA ZAUSMER 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
1	208000000X	Pediatrics Physician	247449	NY

General Provider Information

NPI Number	:	1932342920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ZAUSMER MD

Provider Business Mailing Address
First Line	:	833 NORTHERN BLVD STE 140
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5322
Country	:	US
Telephone Number	:	516-504-0606
Fax Number	:

Provider Business Practice Location Address
First Line	:	833 NORTHERN BLVD STE 140
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5322
Country	:	US
Telephone Number	:	516-504-0606
Fax Number	:

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

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/03/2013

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