Provider Demographics
NPI:1225021132
Name:ZION, ADI (PT)
Entity Type:Individual
Prefix:MR
First Name:ADI
Middle Name:
Last Name:ZION
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E MIDDLE COUNTRY RD STE 226
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2873
Mailing Address - Country:US
Mailing Address - Phone:631-724-5788
Mailing Address - Fax:631-724-5177
Practice Address - Street 1:222 MIDDLE COUNTRY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2871
Practice Address - Country:US
Practice Address - Phone:631-724-5788
Practice Address - Fax:631-724-5177
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3179311OtherOXFORD
1872501OtherUNITED HEALTHCARE
NYAZ586684OtherGHI
NYAZ586684OtherGHI