Provider Demographics
NPI:1851816599
Name:ZENER, REBECCA ELIZABETH (MD, DABR, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ELIZABETH
Last Name:ZENER
Suffix:
Gender:F
Credentials:MD, DABR, FRCPC
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Mailing Address - Street 1:1400 PELHAM PKWY SOUTH, JACOBI MEDICAL CENTER
Mailing Address - Street 2:BUILDING 1, ROOM 4N-15
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-4590
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY SOUTH, JACOBI MEDICAL CENTER
Practice Address - Street 2:BUILDING 1, ROOM 4N-15
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-4590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2864072085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05247347Medicaid