Provider Demographics
NPI:1073512612
Name:ZIMRING, PHILIP (DMD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:ZIMRING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 FRANKLIN PL
Mailing Address - Street 2:SUITE C
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1218
Mailing Address - Country:US
Mailing Address - Phone:516-374-3663
Mailing Address - Fax:516-374-4064
Practice Address - Street 1:141 FRANKLIN PL
Practice Address - Street 2:SUITE C
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1218
Practice Address - Country:US
Practice Address - Phone:516-374-3663
Practice Address - Fax:516-374-4064
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02967311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics