Healthcare Provider Details

I. General information

NPI: 1457396582
Provider Name (Legal Business Name): JANE ROBIN ZUCKER MD MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 NINTH AVENUE 3RD FLOOR
NEW YORK NY
10001
US

IV. Provider business mailing address

125 WORTH STREET ROOM 901 BOX 74 NYCDOH DIVISION OF DISEASE CONTROL
NEW YORK NY
10013-4006
US

V. Phone/Fax

Practice location:
  • Phone: 212-239-1757
  • Fax:
Mailing address:
  • Phone: 212-442-8468
  • Fax: 212-442-8452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number168661
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: