MEDICARE: JEFFREY F ZWERLING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	121977	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AS085	OTHER	OXFORD
3	4246576	OTHER	AETNA
4	JZ03134710	OTHER	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1215990908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY F ZWERLING MD

Provider Business Mailing Address
First Line	:	11718 ROCKAWAY BEACH BLVD
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-2018
Country	:	US
Telephone Number	:	718-634-5808
Fax Number	:	718-634-8125

Provider Business Practice Location Address
First Line	:	11718 ROCKAWAY BEACH BLVD
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-2018
Country	:	US
Telephone Number	:	718-634-5808
Fax Number	:	718-634-8125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	07/08/2007

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Directions to “ JEFFREY F ZWERLING MD” Practice Location

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