Healthcare Provider Details

I. General information

NPI: 1992797971
Provider Name (Legal Business Name): WOLFGANG ZIEHER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE
HEMPSTEAD NY
11550-8115
US

IV. Provider business mailing address

60 PINE ST
GARDEN CITY NY
11530-6319
US

V. Phone/Fax

Practice location:
  • Phone: 516-505-0848
  • Fax: 516-505-0848
Mailing address:
  • Phone: 516-505-0848
  • Fax: 516-505-0848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8501
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: