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NPI Code Detail

MEDICARE: DR. KENNETH HOWARD ZATZ M.D.

MEDICARE: DR. KENNETH HOWARD ZATZ 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
1208000000XPediatrics Physician166695NY

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 : 1639270788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH HOWARD ZATZ M.D.
Provider Business Mailing Address
First Line : 311 N MIDLAND AVE
Second Line : SUITE 2A
City : NYACK
State : NY
Zip : 10960-1627
Country : US
Telephone Number : 845-353-7360
Fax Number : 845-353-7362
Provider Business Practice Location Address
First Line : 311 N MIDLAND AVE
Second Line : SUITE 2A
City : NYACK
State : NY
Zip : 10960-1627
Country : US
Telephone Number : 845-353-7360
Fax Number : 845-353-7362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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