Healthcare Provider Details

I. General information

NPI: 1467810598
Provider Name (Legal Business Name): ELISHEVA ZINBERG D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

460 W 34TH ST
NEW YORK NY
10001-2320
US

IV. Provider business mailing address

750 N BROAD ST APT 1F
ELIZABETH NJ
07208-2468
US

V. Phone/Fax

Practice location:
  • Phone: 212-991-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number039315
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: