Healthcare Provider Details

I. General information

NPI: 1376761692
Provider Name (Legal Business Name): CHRISTINE ZEILMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WYOMING COUNTY COMMUNITY HOSPITAL 400 NORTH MAIN STREET
WARSAW NY
14569
US

IV. Provider business mailing address

41 S PEARL ST
ATTICA NY
14011-1206
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-2233
  • Fax: 585-786-1268
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number016613-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: