Provider Demographics
NPI:1790737864
Name:FRANK A ZIMBA MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:FRANK A ZIMBA MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-488-9541
Mailing Address - Street 1:207 FOOTE AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-7077
Mailing Address - Country:US
Mailing Address - Phone:716-488-9541
Mailing Address - Fax:716-488-9543
Practice Address - Street 1:207 FOOTE AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-7077
Practice Address - Country:US
Practice Address - Phone:716-488-9541
Practice Address - Fax:716-488-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197137207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01522476Medicaid