Healthcare Provider Details

I. General information

NPI: 1245406123
Provider Name (Legal Business Name): APEX MEDICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 CENTRAL AVE
FAR ROCKAWAY NY
11691-4001
US

IV. Provider business mailing address

92 MARGARET AVE
LAWRENCE NY
11559-1826
US

V. Phone/Fax

Practice location:
  • Phone: 516-213-4603
  • Fax:
Mailing address:
  • Phone: 516-213-4603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number200795
License Number StateNY

VIII. Authorized Official

Name: DR. DANIEL J ZEIDMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 516-216-4603