Healthcare Provider Details

I. General information

NPI: 1922075415
Provider Name (Legal Business Name): ZEV CARREY I M.D., F.C.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 BROADWAY
HEWLETT NY
11557-1405
US

IV. Provider business mailing address

1436 BROADWAY
HEWLETT NY
11557-1405
US

V. Phone/Fax

Practice location:
  • Phone: 516-563-7200
  • Fax: 516-563-7295
Mailing address:
  • Phone: 516-563-7200
  • Fax: 516-563-7295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number155661
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number155661
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number155661
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: