Provider Demographics
NPI:1235240839
Name:NEIL ZWIEBEL DPM PLLC
Entity Type:Organization
Organization Name:NEIL ZWIEBEL DPM PLLC
Other - Org Name:PARK EAST PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ZWIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-207-4360
Mailing Address - Street 1:105 E 63 ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-207-4360
Mailing Address - Fax:
Practice Address - Street 1:105 E 63RD ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7327
Practice Address - Country:US
Practice Address - Phone:212-207-4360
Practice Address - Fax:212-207-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005619213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5197860001Medicare NSC
NYPVW342Medicare ID - Type Unspecified
NYPVW341Medicare ID - Type Unspecified
NYPVW341Medicare PIN
NYU90822Medicare UPIN
NYPVW342Medicare PIN