Zelenetz, Michael Ivan

Zelenetz, Michael Ivan is an individual health care provider with primary practice located at 215 E 95Th St , New York NY 10128-4077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Zelenetz, Michael Ivan can be contacted via phone (212) 996-8000.

Contact Information

Primary practice address
215 E 95Th St New York NY 10128-4077
Fax: (212) 423-3127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 237129 New York

Profile Details

NPI number 1457565640
LBN Legal business name Zelenetz, Michael Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Oct 2nd, 2019 - about 6 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 1457565640 NPPES
New York MEDICAID 02968418

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