Provider Demographics
NPI:1962273219
Name:ZUIDEMA, ABBIE J
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:J
Last Name:ZUIDEMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 BROADWAY STE 1105
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-8111
Mailing Address - Country:US
Mailing Address - Phone:917-496-5772
Mailing Address - Fax:
Practice Address - Street 1:928 BROADWAY STE 1105
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8111
Practice Address - Country:US
Practice Address - Phone:917-496-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist