Healthcare Provider Details

I. General information

NPI: 1306613856
Provider Name (Legal Business Name): DANIEL J. ZIMMERMAN, M.D., PSYCHIATRY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BROADWAY STE 1168
NEW YORK NY
10004-1326
US

IV. Provider business mailing address

11 BROADWAY STE 1168
NEW YORK NY
10004-1326
US

V. Phone/Fax

Practice location:
  • Phone: 212-320-2216
  • Fax:
Mailing address:
  • Phone: 212-320-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL ZIMMERMAN
Title or Position: OWNER
Credential: MD
Phone: 646-242-0737