Provider Demographics
NPI:1679344642
Name:DR Z PODIATRY LLC
Entity Type:Organization
Organization Name:DR Z PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIZOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-881-9482
Mailing Address - Street 1:1 VANDELFT DR APT 15
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2358
Mailing Address - Country:US
Mailing Address - Phone:954-881-9482
Mailing Address - Fax:
Practice Address - Street 1:85 RARITAN AVE STE 125
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2490
Practice Address - Country:US
Practice Address - Phone:732-545-0983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty