Healthcare Provider Details

I. General information

NPI: 1275021099
Provider Name (Legal Business Name): DANIEL ZILBERBRAND DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE STE 208
HEMPSTEAD NY
11550-8116
US

IV. Provider business mailing address

2018 BRIAN DR
MERRICK NY
11566-1731
US

V. Phone/Fax

Practice location:
  • Phone: 516-490-0513
  • Fax: 516-440-4972
Mailing address:
  • Phone: 917-586-5414
  • Fax: 516-440-4972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN007125-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: