Healthcare Provider Details

I. General information

NPI: 1629071980
Provider Name (Legal Business Name): COREY ZIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date: 03/29/2006
Reactivation Date: 06/23/2006

III. Provider practice location address

225 NASSAU BOULEVARD
WEST HEMPSTEAD NY
11552-2247
US

IV. Provider business mailing address

225 NASSAU BOULEVARD
WEST HEMPSTEAD NY
11552
US

V. Phone/Fax

Practice location:
  • Phone: 516-539-1800
  • Fax: 516-539-0651
Mailing address:
  • Phone: 516-539-1800
  • Fax: 516-539-0651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number154676
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: