Provider Demographics
NPI:1699712471
Name:ZOLKIND, NEIL A (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:A
Last Name:ZOLKIND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 WHITE PLAINS ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5521
Mailing Address - Country:US
Mailing Address - Phone:914-909-5838
Mailing Address - Fax:914-909-5840
Practice Address - Street 1:150 WHITE PLAINS ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5521
Practice Address - Country:US
Practice Address - Phone:914-909-5838
Practice Address - Fax:914-909-5840
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1419192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01023298Medicaid
NYB12678Medicare UPIN
NY01023298Medicaid