Provider Demographics
NPI:1275111254
Name:SCOTT D. ZINBERG, D.C. LLC
Entity Type:Organization
Organization Name:SCOTT D. ZINBERG, D.C. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ZINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-628-8500
Mailing Address - Street 1:41 JANET LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-2756
Mailing Address - Country:US
Mailing Address - Phone:212-628-8500
Mailing Address - Fax:
Practice Address - Street 1:430 E 86TH ST APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6440
Practice Address - Country:US
Practice Address - Phone:212-628-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty