Provider Demographics
NPI:1881640472
Name:ZEITLIN, JILL F (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:F
Last Name:ZEITLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:358 N BROADWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2322
Practice Address - Country:US
Practice Address - Phone:914-631-3053
Practice Address - Fax:914-631-2807
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212888207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH11952Medicare UPIN
NY644912Medicare ID - Type Unspecified