Provider Demographics
NPI:1457396582
Name:ZUCKER, JANE ROBIN (MD MS)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ROBIN
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:MD MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 WORTH STREET
Mailing Address - Street 2:ROOM 901 BOX 74 NYCDOH DIVISION OF DISEASE CONTROL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4006
Mailing Address - Country:US
Mailing Address - Phone:212-442-8468
Mailing Address - Fax:212-442-8452
Practice Address - Street 1:303 NINTH AVENUE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-239-1757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168661207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I45872Medicare UPIN
NY2X5251Medicare ID - Type UnspecifiedEMPIRE
NY010JBMMedicare ID - Type UnspecifiedGHI