Healthcare Provider Details

I. General information

NPI: 1841331725
Provider Name (Legal Business Name): JOEL L. ZIVE PHARMD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 10/31/2020
Certification Date: 10/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 HENRY HUDSON PKWY APT 708
BRONX NY
10471-3810
US

IV. Provider business mailing address

4525 HENRY HUDSON PKWY APT 708
BRONX NY
10471-3810
US

V. Phone/Fax

Practice location:
  • Phone: 914-282-4921
  • Fax:
Mailing address:
  • Phone: 914-282-4921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number042879-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number20042879
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number042879-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: