Provider Demographics
NPI:1205600194
Name:ZR ZIEGELBAUM RPT
Entity type:Organization
Organization Name:ZR ZIEGELBAUM RPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:516-944-8798
Mailing Address - Street 1:26 MANORHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1608
Mailing Address - Country:US
Mailing Address - Phone:516-944-8798
Mailing Address - Fax:516-944-9354
Practice Address - Street 1:26 MANORHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1608
Practice Address - Country:US
Practice Address - Phone:516-944-8798
Practice Address - Fax:516-944-9354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty