Healthcare Provider Details

I. General information

NPI: 1609025808
Provider Name (Legal Business Name): ROBERT E. ZEITLIN,D.D.S.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 VOORHIES AVE 1ST FLOOR
BROOKLYN NY
11235-3959
US

IV. Provider business mailing address

1603 VOORHIES AVE 1ST FLOOR
BROOKLYN NY
11235-3959
US

V. Phone/Fax

Practice location:
  • Phone: 718-332-1778
  • Fax: 718-332-5816
Mailing address:
  • Phone: 718-332-1778
  • Fax: 718-332-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number031799
License Number StateNY

VIII. Authorized Official

Name: DR. ROBERT E. ZEITLIN
Title or Position: PRESIDENT/OWNER
Credential: D.D.S.
Phone: 718-332-1778