Provider Demographics
NPI:1689688038
Name:ZITZMANN, ERIC KURT (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:KURT
Last Name:ZITZMANN
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 1:141 OLD CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4861
Mailing Address - Country:US
Mailing Address - Phone:914-946-1010
Mailing Address - Fax:
Practice Address - Street 1:222 WESTCHESTER AVE
Practice Address - Street 2:101
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2906
Practice Address - Country:US
Practice Address - Phone:914-946-1010
Practice Address - Fax:914-946-1025
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY88106207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY505271Medicare ID - Type Unspecified
NYB15642Medicare UPIN