Healthcare Provider Details

I. General information

NPI: 1275849978
Provider Name (Legal Business Name): HARVEY ALAN ZUCKER R.N
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 AVENUE U FL 1
BROOKLYN NY
11229-5126
US

IV. Provider business mailing address

18 NELSON ST
YONKERS NY
10704-2202
US

V. Phone/Fax

Practice location:
  • Phone: 718-615-0049
  • Fax:
Mailing address:
  • Phone: 914-563-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number467475
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: