Healthcare Provider Details

I. General information

NPI: 1407273725
Provider Name (Legal Business Name): NATHAN ISAAC ZAPOLSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NATHAN D PERLMAN PL
NEW YORK NY
10003-3851
US

IV. Provider business mailing address

125 COURT ST APT 6SQ
BROOKLYN NY
11201
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-4253
  • Fax: 212-420-2863
Mailing address:
  • Phone: 920-279-0521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number286915
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: