Zimmerly, John David
Zimmerly, John David is an sole proprietor health care provider with primary practice located at 454 Deer Park Ave , Babylon NY 11702-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zimmerly, John David can be contacted via phone (631) 321-5440.Contact Information
Primary practice address
454 Deer Park Ave
Babylon NY 11702-2316
Phone: (631) 321-5440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 134845 | New York |
Profile Details
| NPI number | 1841362316 |
|---|---|
| LBN Legal business name | Zimmerly, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841362316 | NPPES |
| New York | MEDICAID | 00667354 |
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