Healthcare Provider Details

I. General information

NPI: 1770667966
Provider Name (Legal Business Name): RICHARD SCOTT ZIPPERMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18-15 COLLEGE POINT BLVD
COLLEGE POINT NY
11356
US

IV. Provider business mailing address

18-15 COLLEGE POINT BLVD
COLLEGE POINT NY
11356
US

V. Phone/Fax

Practice location:
  • Phone: 718-539-7776
  • Fax: 718-539-7558
Mailing address:
  • Phone: 718-539-7776
  • Fax: 718-539-7558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: