Provider Demographics
NPI:1841331725
Name:ZIVE, JOEL L (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:L
Last Name:ZIVE
Suffix:
Gender:M
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 HENRY HUDSON PKWY APT 708
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3810
Mailing Address - Country:US
Mailing Address - Phone:914-282-4921
Mailing Address - Fax:
Practice Address - Street 1:4525 HENRY HUDSON PKWY APT 708
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3810
Practice Address - Country:US
Practice Address - Phone:914-282-4921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042879-11835P1200X, 183500000X
NY200428793336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No3336S0011XSuppliersPharmacySpecialty Pharmacy