Healthcare Provider Details

I. General information

NPI: 1952594749
Provider Name (Legal Business Name): PAUL ZUCKER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E 5 N
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

60 E 8TH ST 18 B
NEW YORK NY
10003-6514
US

V. Phone/Fax

Practice location:
  • Phone: 212-844-8772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number017525
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: