Provider Demographics
NPI:1124052287
Name:ZWEIBEL, STUART MARTIN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:MARTIN
Last Name:ZWEIBEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 GOLDENS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2810
Mailing Address - Country:US
Mailing Address - Phone:914-404-8053
Mailing Address - Fax:
Practice Address - Street 1:185 KISCO AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1409
Practice Address - Country:US
Practice Address - Phone:914-242-2020
Practice Address - Fax:914-242-0690
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184537207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE87516Medicare UPIN
NY74F583Medicare ID - Type Unspecified