Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN SPENCE ZUCKERMAN, M.D.
ActiveDR. JORDAN SPENCE ZUCKERMAN, M.D. is a Procedural Dermatology healthcare provider located in BAYSIDE, New York. NPI 1043205016 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · BAYSIDE, NY
Registration Details
- NPI Number
- 1043205016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (20.943945997389 yrs)
- Last Updated
- Jul 8, 2007
- License
-
168660 (NY)
Practice Information
- Address
-
2383 BELL BLVDUPPER LEVELBAYSIDE, NY, 113602053Browse NY providers · Browse ZIP 11360
- Phone
- 7184230200
- Fax
- 7184233134
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.