Healthcare Provider Details

I. General information

NPI: 1790805620
Provider Name (Legal Business Name): DAVID MARC ZEMMEL P.T., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE NEW YORK PRESBYTERIAN HOSPITAL
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

84 RIVERSIDE DR APT. 3F
NEW YORK NY
10024-5723
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-1383
  • Fax:
Mailing address:
  • Phone: 212-580-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number013768
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: