Zacks, Jerome Saul
Zacks, Jerome Saul is an sole proprietor health care provider with primary practice located at 1120 Park Ave , New York NY 10128-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Zacks, Jerome Saul can be contacted via phone (212) 289-8400.Contact Information
Primary practice address
1120 Park Ave
New York NY 10128-1242
Phone: (212) 289-8400
Fax: (212) 876-6307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 109597 | New York |
Profile Details
| NPI number | 1114904505 |
|---|---|
| LBN Legal business name | Zacks, Jerome Saul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Oct 4th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114904505 | NPPES |
| New York | MEDICAID | 00194523 |
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