Provider Demographics
NPI:1942698162
Name:ZINBERG, ALIZA
Entity Type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:ZINBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:ZOMBEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 CLUB DR
Mailing Address - Street 2:APT 5IR
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2054
Mailing Address - Country:US
Mailing Address - Phone:516-306-5555
Mailing Address - Fax:
Practice Address - Street 1:1 CLUB DR
Practice Address - Street 2:APT 5IR
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2054
Practice Address - Country:US
Practice Address - Phone:516-306-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics