Healthcare Provider Details

I. General information

NPI: 1679787725
Provider Name (Legal Business Name): MICHELE ZERENER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 AUDUBON AVE
NEW YORK NY
10040-3403
US

IV. Provider business mailing address

160 LASALLE AVE
HASBROUCK HEIGHTS NJ
07604-1407
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-9427
  • Fax: 212-740-3951
Mailing address:
  • Phone: 201-288-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number036364-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: