Provider Demographics
NPI:1295128452
Name:ZACHARY E. GERUT, M.D. P.C.
Entity type:Organization
Organization Name:ZACHARY E. GERUT, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-295-2100
Mailing Address - Street 1:1245 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2006
Mailing Address - Country:US
Mailing Address - Phone:516-295-2100
Mailing Address - Fax:
Practice Address - Street 1:1245 COLONIAL RD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2006
Practice Address - Country:US
Practice Address - Phone:516-295-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty