MEDICARE: ZELMAN RADIOLOGY, PC

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	261QR0200X	Radiology Clinic/Center	265012	NY
2	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1437523818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZELMAN RADIOLOGY, PC

Provider Business Mailing Address
First Line	:	P.O. BOX 21927
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2192
Country	:	US
Telephone Number	:	443-274-2900
Fax Number	:	443-274-2391

Provider Business Practice Location Address
First Line	:	1739 EAST 33RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4423
Country	:	US
Telephone Number	:	646-968-8690
Fax Number	:	877-888-7955

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. DAVID A. ZELMAN
Credential	:	D.O.
Telephone Number	:	718-332-6800

Provider Enumeration Date	:	11/22/2015
Last Update Date	:	05/25/2021

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