Healthcare Provider Details

I. General information

NPI: 1447330204
Provider Name (Legal Business Name): ZVI BEN ZVI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 HENRY HUDSON PARKWAY
BX NY
10463
US

IV. Provider business mailing address

9 CHERRY LANE
SCARSDALE NY
10583
US

V. Phone/Fax

Practice location:
  • Phone: 718-601-2300
  • Fax: 718-601-8594
Mailing address:
  • Phone: 914-472-6995
  • Fax: 914-723-8232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number138846
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: