Individual provider · Type 1 NPI

Thomas Frederick Zimmerman, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Staten Island, NY

NPI number 1245549393 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Call (718) 818-1234 Map

Mailing address

149 Beach 118th St, Third Floor
Rockaway Park, NY 11694-2034

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X009704 (NY)
Surgical Physician Assistant Primary 363AS0400X009704 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1245549393

Thomas Frederick Zimmerman, PHYSICIAN ASSISTANT's National Provider Identifier is 1245549393, issued on Oct 6, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Oct 6, 2010.