Provider Demographics
NPI:1124139720
Name:ZWIEBEL, NEIL STEVEN (DPM)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:STEVEN
Last Name:ZWIEBEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:105 E 63RD ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7327
Mailing Address - Country:US
Mailing Address - Phone:212-207-4360
Mailing Address - Fax:212-207-4374
Practice Address - Street 1:105 E 63RD ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7327
Practice Address - Country:US
Practice Address - Phone:212-207-4360
Practice Address - Fax:212-207-4374
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN005619213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPJ1521Medicare ID - Type Unspecified