Provider Demographics
NPI:1285857169
Name:ZORN, RONNI M (DC)
Entity Type:Individual
Prefix:DR
First Name:RONNI
Middle Name:M
Last Name:ZORN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ATLANTIC AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563
Mailing Address - Country:US
Mailing Address - Phone:516-887-1001
Mailing Address - Fax:516-887-1004
Practice Address - Street 1:215 ATLANTIC AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-887-1001
Practice Address - Fax:516-887-1004
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004624-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition