Healthcare Provider Details

I. General information

NPI: 1437523818
Provider Name (Legal Business Name): ZELMAN RADIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2015
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 EAST 33RD ST
BROOKLYN NY
11234-4423
US

IV. Provider business mailing address

P.O. BOX 21927
NEW YORK NY
10087-2192
US

V. Phone/Fax

Practice location:
  • Phone: 646-968-8690
  • Fax: 877-888-7955
Mailing address:
  • Phone: 443-274-2900
  • Fax: 443-274-2391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number265012
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID A. ZELMAN
Title or Position: PRESIDENT/OWNER
Credential: D.O.
Phone: 718-332-6800