Jordan Spence Zuckerman in Bayside - Procedural Dermatology

Jordan Spence Zuckerman - NPI 1043205016

Jordan Spence Zuckerman is a Procedural Dermatology in Bayside, New York. Jordan Spence Zuckerman practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Jordan Spence Zuckerman is 1043205016. The last update date is 2007-07-08.

Jordan Spence Zuckerman's current location address is 2383 Bell Blvd, Bayside, New York. You can contact this provider via phone number 7184230200 and fax number 7184233134. The mailing address for Jordan Spence Zuckerman is 2383 Bell Blvd, Bayside, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jordan Spence Zuckerman
Address 2383 Bell Blvd, Bayside, New York
Phone Number 7184230200
Fax Number 7184233134
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043205016
Provider Enumeration Date 2005-09-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2383 Bell Blvd
City Bayside
State New York (NY)
Post Code 113602053
Phone Number 7184230200
Fax Number 7184233134

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 168660
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

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FAQs about Jordan Spence Zuckerman

What is the unique identifier code issued to Jordan Spence Zuckerman by the Centers for Medicare & Medicaid Services?

The Jordan Spence Zuckerman has been assigned the NPI (National Provider Identifier) 1043205016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jordan Spence Zuckerman is located?

The Jordan Spence Zuckerman is situated at the following address: 2383 Bell Blvd, Bayside, NY, 113602053.

What is Jordan Spence Zuckerman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jordan Spence Zuckerman is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.

On what date did the Jordan Spence Zuckerman receive its 1043205016 assignment from the Centers for Medicare & Medicaid Services?

The Jordan Spence Zuckerman was assigned its 1043205016 by the Centers for Medicare & Medicaid Services on 2005-09-15.

As of what date were the details pertaining to Jordan Spence Zuckerman last refreshed?

The information related to the Jordan Spence Zuckerman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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