Provider Demographics
NPI:1912117714
Name:ZIGUN, JENNIFER RUBENSTEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RUBENSTEIN
Last Name:ZIGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:EVE
Other - Last Name:RUBENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:YNHH-ADULT IOP
Mailing Address - Street 2:2080 WHITNEY AVE STE 200
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2080 WHITNEY AVE STE 200
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3603
Practice Address - Country:US
Practice Address - Phone:203-747-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0435852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT043585OtherSTATE LICENSE
CTFZ6737906OtherDEA