Provider Demographics
NPI:1720371750
Name:ZALTA MEDCARE PLLC
Entity Type:Organization
Organization Name:ZALTA MEDCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOURIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:347-342-8640
Mailing Address - Street 1:1850 OCEAN PKWY
Mailing Address - Street 2:A9
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3060
Mailing Address - Country:US
Mailing Address - Phone:347-342-8640
Mailing Address - Fax:
Practice Address - Street 1:1850 OCEAN PKWY
Practice Address - Street 2:A9
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3060
Practice Address - Country:US
Practice Address - Phone:347-342-8640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244539208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty