Healthcare Provider Details

I. General information

NPI: 1447314323
Provider Name (Legal Business Name): HILLARY ZINMAN RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SUNNYSIDE PL
IRVINGTON NY
10533-1337
US

IV. Provider business mailing address

51 SUNNYSIDE PL
IRVINGTON NY
10533-1337
US

V. Phone/Fax

Practice location:
  • Phone: 914-329-0214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: