Provider Demographics
NPI:1790728996
Name:ZWERLING, BRIAN HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HARRIS
Last Name:ZWERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:117-18 ROCKAWAY BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-634-5808
Mailing Address - Fax:718-634-8125
Practice Address - Street 1:117-18 ROCKAWAY BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-634-5808
Practice Address - Fax:718-634-8125
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230161-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07717HMedicare PIN