Healthcare Provider Details

I. General information

NPI: 1972929537
Provider Name (Legal Business Name): MR. DANNY ZYSKIND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2014
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 RANSOMVILLE RD
RANSOMVILLE NY
14131-9602
US

IV. Provider business mailing address

3509 RANSOMVILLE RD
RANSOMVILLE NY
14131-9602
US

V. Phone/Fax

Practice location:
  • Phone: 716-791-4211
  • Fax: 716-791-3275
Mailing address:
  • Phone: 716-791-4211
  • Fax: 716-791-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number03572552
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: