1447313069 NPI number — DR. SCOTT ZACHARY FIELDS M.D.

Table of content: DR. SCOTT ZACHARY FIELDS M.D. (NPI 1447313069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447313069 NPI number — DR. SCOTT ZACHARY FIELDS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FIELDS
Provider First Name:
SCOTT
Provider Middle Name:
ZACHARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447313069
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 COMMUNITY DR
Provider Second Line Business Mailing Address:
NORTH SHORE-LIJ HEALTH SYSTEM, SUITE 304
Provider Business Mailing Address City Name:
MANHASSET
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11030-3825
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 LAKEVILLE RD
Provider Second Line Business Practice Location Address:
MONTER CANCER CENTER
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11042-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-734-8791
Provider Business Practice Location Address Fax Number:
516-734-8662
Provider Enumeration Date:
12/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  165501 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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