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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1134195795 NPPES
New York MEDICAID 01724625
New York Other 136978

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