Healthcare Provider Details

I. General information

NPI: 1508842808
Provider Name (Legal Business Name): HARRY ZINN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVE BOX 1198
BROOKLYN NY
11203-2056
US

IV. Provider business mailing address

417 DAUB AVE
HEWLETT NY
11557-1136
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-1603
  • Fax:
Mailing address:
  • Phone: 516-569-6113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number191697
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number191697
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: