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NPI Code Detail

MEDICARE: DR. ADAM D. ZEITLIN DO

MEDICARE: DR. ADAM D. ZEITLIN DO
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 Physician227362NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386745578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM D. ZEITLIN DO
Provider Business Mailing Address
First Line : 13666 72ND AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2328
Country : US
Telephone Number : 718-380-3809
Fax Number : 718-303-8240
Provider Business Practice Location Address
First Line : 7161 159TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11365-4123
Country : US
Telephone Number : 718-380-3809
Fax Number : 718-303-8240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/21/2011

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