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NPI Code Detail

MEDICARE: HEIDI ZINKAND M.D.

MEDICARE:   HEIDI  ZINKAND  M.D.
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
1207Q00000XFamily Medicine Physician171836NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P010171836OTHERNYBLUE CHOICE ROCHESTER
2101209BFOTHERNYPREFERRED CARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4080053769OTHERNYRAILROAD MCARE
56938OTHERNYBLUE CROSS ROCHESTER

General Provider Information

NPI Number : 1225056294
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ZINKAND M.D.
Provider Business Mailing Address
First Line : 214C LAKE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1208
Country : US
Telephone Number : 585-423-5800
Fax Number : 585-423-2890
Provider Business Practice Location Address
First Line : 322 LAKE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1017
Country : US
Telephone Number : 585-254-6480
Fax Number : 585-254-1090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/24/2017

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Directions to “ HEIDI ZINKAND M.D.” Practice Location

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