MARK JULIAN ZUCKERMAN


Address: 373 Route 111, Suite 20, Smithtown, NY 11787-4759
Phone: 6313603366

MARK JULIAN ZUCKERMAN (NPI# 1790846244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790846244
Entity Type Individual
Full Name MARK JULIAN ZUCKERMAN
Credential MD
Practice Address 373 Route 111
Suite 20
Smithtown
NY 11787-4759
Practice Telephone 6313603366
Practice Fax Number 6313603380
Mailing Telephone 6313603366
Mailing Fax Number 6313603380
Enumeration Date 2006-12-12
Last Update Date 2011-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
171222 NY Allopathic & Osteopathic Physicians

Other Providers MARK ZUCKERMAN

NPI Name Taxonomy Address Enumeration
1033387246 Mark R Zuckerman Pharmacist 160 Tulip Ave, Floral Park, NY 11001-2706 2008-02-11
1376532754 Mark Zuckerman Pathology 41 Highland Ave, Winchester Hospital, Winchester, MA 01890-1446 2005-10-18

Office Location

Street Address 373 ROUTE 111
SUITE 20
City SMITHTOWN
State NY
Zip Code 11787-4759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881686418 Morton B Weinberg Dermatology 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2005-08-19
1073993218 Mitchell N Shapiro Dds PC Dentist 373 Route 111, Ste 16, Smithtown, NY 11787-4759 2015-06-03
1215245220 Andreas Costas Michaelides Psychologist 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2010-09-24
1609103522 Morton B Weinberg Md PC Dermatology 373 Route 111, Suite 10, Smithtown, NY 11787-4759 2009-11-13
1790907566 Mitchell Neil Shapiro Dentist 373 Route 111, Suite 16, Smithtown, NY 11787-4759 2007-05-02
1881758225 Total Foot Care,pc Podiatrist 373 Route 111, Smithtown, NY 11787-4759 2006-12-20
1235201328 Elite Medical,pc Internal Medicine 373 Route 111, Suite 14, Smithtown, NY 11787-4759 2006-11-14
1093803785 Howard S Lynn Urology 373 Route 111, Suite 7, Smithtown, NY 11787-4759 2006-10-10
1215038666 Amy Shapiro Dietitian, Registered 373 Route 111, Suite 16, Smithtown, NY 11787-4759 2006-09-26
1487673612 Alexander Epelbaum Urology 373 Route 111, Suite 7, Smithtown, NY 11787-4759 2006-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962779 Gwendolyn Burris Counselor 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 2020-11-04
1467051193 Karin M Caro Adult Companion 9 Three Pond Road, Smithtown, NY 11787 2020-10-23
1639706641 Nimit Khara Student in an Organized Health Care Education/Training Program 240 Middle Country Rd A, Smithtown, NY 11787 2020-03-27
1003469032 Maria Teresa Gardella Nurse Practitioner St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 2019-07-18
1558922070 Pamella Ann Grillo Physician Assistant 373 Ny-111 #5, Smithtown, NY 11787 2019-06-25
1306308127 Sherry Hansen Social Worker 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 2019-04-01
1932663747 Kayla Roundsman Counselor 11 Route 11, Smithtown, NY 11787 2019-01-25
1568959856 Moreen Johnson Registered Nurse Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 2018-04-23
1992217871 Erica Zeller Licensed Clinical Social Work Pllc Social Worker 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 2017-10-31
1881117802 Oisin Vincent Keenan Case Manager/Care Coordinator 11 Ny-111, Smithtown, NY 11787 2017-07-21
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255499406 Harpreet Khurana Psychiatry & Neurology 496 Smithtown Bypass, Suite 307, Smithtown, NY 11787-5012 2006-12-04
1467556662 Schenley H Que Psychiatry & Neurology 45 Terry Road, Suite A, Smithtown, NY 11787 2006-09-11
1497392617 Dr. Jennifer Mcmonigle Medical, P.C. Psychiatry & Neurology 1045 W Jericho Tpke, Smithtown, NY 11787-3205 2019-12-06
1033458526 Reuben David Burshtein Psychiatry & Neurology 45 Terry Rd, Ste A, Smithtown, NY 11787-3894 2013-02-05
1598909780 Mark J. Zuckerman, Physician, P.C. Psychiatry & Neurology 363 Route 111, Suite 102, Smithtown, NY 11787-4756 2009-05-01
1912163346 Mathew M. Chacko Physician PC Psychiatry & Neurology 222 E Main St, Suite 101, Smithtown, NY 11787-2871 2008-08-05
1821256595 Island Comprehensive Neurology LLP Psychiatry & Neurology 496 Smithtown Byp, Suite 307, Smithtown, NY 11787-5005 2008-05-29
1407956907 Mathew Meloottu Chacko Psychiatry & Neurology 222 E Main St, Siute 101, Smithtown, NY 11787-2871 2006-09-24
1376647578 Richard A Pearl Md PC Psychiatry & Neurology 45 Terry Road, Suite A, Smithtown, NY 11787 2006-09-11
1740384932 Richard A Pearl Psychiatry & Neurology 45 Terry Road, Suite A, Smithtown, NY 11787 2006-09-11
Find all providers in SMITHTOWN

Competitor

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City SMITHTOWN
Zip Code 11787

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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