Provider Demographics
NPI:1740256239
Name:ZUCKER, ALBERT HARRY (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:HARRY
Last Name:ZUCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:505 ROUTE 208
Mailing Address - Street 2:SUITE 27
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1608
Mailing Address - Country:US
Mailing Address - Phone:845-782-6092
Mailing Address - Fax:845-782-7926
Practice Address - Street 1:505 ROUTE 208
Practice Address - Street 2:SUITE 27
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1608
Practice Address - Country:US
Practice Address - Phone:845-782-6092
Practice Address - Fax:845-782-7926
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2016-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY167233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10E481Medicare PIN