Provider Demographics
NPI:1497378699
Name:ZH PODIATRIST OF WESTCHESTER PC
Entity Type:Organization
Organization Name:ZH PODIATRIST OF WESTCHESTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERCULES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-428-2917
Mailing Address - Street 1:150 EDGEPARK RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:741 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3201
Practice Address - Country:US
Practice Address - Phone:914-750-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty