MEDICARE: GERALD DANIEL ZAHTZ 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	207Y00000X	Otolaryngology Physician	134843	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1942355060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD DANIEL ZAHTZ MD

Provider Business Mailing Address
First Line	:	430 LAKEVILLE RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1121
Country	:	US
Telephone Number	:	718-470-7550
Fax Number	:	718-470-4514

Provider Business Practice Location Address
First Line	:	430 LAKEVILLE RD
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1121
Country	:	US
Telephone Number	:	718-470-7550
Fax Number	:	718-470-4514

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	04/03/2018

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