Zimmerman, Samuel Milton
Zimmerman, Samuel Milton is an individual health care provider with primary practice located at 2255 Platte Clove Rd , Elka Park NY 12427-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zimmerman, Samuel Milton can be contacted via phone (845) 658-7763.Contact Information
Primary practice address
2255 Platte Clove Rd
Elka Park NY 12427-1014
Phone: (845) 658-7763
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 082512 | New York |
Profile Details
NPI number | 1134195795 |
---|---|
LBN Legal business name | Zimmerman, Samuel Milton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134195795 | NPPES |
New York | MEDICAID | 01724625 | |
New York | Other | 136978 |
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