Provider Demographics
NPI:1629071980
Name:ZIFF, COREY (MD)
Entity Type:Individual
Prefix:DR
First Name:COREY
Middle Name:
Last Name:ZIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 NASSAU BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552
Mailing Address - Country:US
Mailing Address - Phone:516-539-1800
Mailing Address - Fax:516-539-0651
Practice Address - Street 1:225 NASSAU BOULEVARD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2247
Practice Address - Country:US
Practice Address - Phone:516-539-1800
Practice Address - Fax:516-539-0651
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:2006-03-29
Deactivation Code:
Reactivation Date:2006-06-23
Provider Licenses
StateLicense IDTaxonomies
NY154676207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0106120 7Medicaid
NY90D001Medicare ID - Type Unspecified
NY0106120 7Medicaid