Zoltick, Jerel M

Zoltick, Jerel M is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Zoltick, Jerel M can be contacted via phone (607) 547-3181.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Fax: (607) 547-6857
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 135653 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 135653 New York

Profile Details

NPI number 1053361212
LBN Legal business name Zoltick, Jerel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 30th, 2008 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053361212 NPPES
New York MEDICAID 02737855

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