Provider Demographics
NPI:1043784804
Name:DR ROSEMARIE ZIMMERMAN & DR ANDRIY KRAYNIY PLLC
Entity Type:Organization
Organization Name:DR ROSEMARIE ZIMMERMAN & DR ANDRIY KRAYNIY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-245-0055
Mailing Address - Street 1:135 WEST 58 STREET
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-245-0055
Mailing Address - Fax:212-245-0994
Practice Address - Street 1:135 WEST 58 STREET
Practice Address - Street 2:SUITE 1D
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-245-0055
Practice Address - Fax:212-245-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty