Provider Demographics
NPI:1962455311
Name:ZELMAN, ARTHUR (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:ZELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 BREVOORT LN
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1009
Mailing Address - Country:US
Mailing Address - Phone:914-698-3210
Mailing Address - Fax:914-698-7532
Practice Address - Street 1:75 BREVOORT LN
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1009
Practice Address - Country:US
Practice Address - Phone:914-698-3210
Practice Address - Fax:914-698-7532
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1017852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY101785OtherNYS LICENSE #
NY00101785Medicaid
NY96745VE061Medicare PIN
NY00101785Medicaid