Healthcare Provider Details

I. General information

NPI: 1265690069
Provider Name (Legal Business Name): MEIR ZATS LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3907 LYME AVE
BROOKLYN NY
11224-1017
US

IV. Provider business mailing address

3907 LYME AVE
BROOKLYN NY
11224-1017
US

V. Phone/Fax

Practice location:
  • Phone: 646-996-9839
  • Fax: 718-373-7782
Mailing address:
  • Phone: 646-996-9839
  • Fax: 718-373-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003132-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: