Healthcare Provider Details

I. General information

NPI: 1689688038
Provider Name (Legal Business Name): ERIC KURT ZITZMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 WESTCHESTER AVE 101
WHITE PLAINS NY
10604-2906
US

IV. Provider business mailing address

141 OLD CHURCH RD
GREENWICH CT
06830-4861
US

V. Phone/Fax

Practice location:
  • Phone: 914-946-1010
  • Fax: 914-946-1025
Mailing address:
  • Phone: 914-946-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number88106
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: