Provider Demographics
NPI:1043344807
Name:ZEBRAK, SETH B (PA)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:B
Last Name:ZEBRAK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 KENNEDY BLVD E
Mailing Address - Street 2:APT 32F
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-5029
Mailing Address - Country:US
Mailing Address - Phone:646-352-2885
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2486
Practice Address - Fax:973-754-2482
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00164100363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical