1942211081 NPI number — LAWRENCE ZWEIBEL MD

Table of content: LAWRENCE ZWEIBEL MD (NPI 1942211081)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942211081 NPI number — LAWRENCE ZWEIBEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZWEIBEL
Provider First Name:
LAWRENCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1942211081
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
260 MIDDLE COUNTRY RD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SMITHTOWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11787
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-265-8780
Provider Business Mailing Address Fax Number:
631-265-8521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
260 MIDDLE COUNTRY RD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SMITHTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-265-8780
Provider Business Practice Location Address Fax Number:
631-265-8521
Provider Enumeration Date:
08/11/2006

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: 207W00000X , with the licence number:  116620 , 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)

  • Identifier: 201189A30 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 332059 . This is a "NVA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 897892 . This is a "MEC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0036367 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 180041473 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2384635 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2C9560 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: AH01507 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 25039P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00660128 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: S170382 . This is a "SUFFOLK HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2677 . This is a "VYTRA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 68922 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P451156 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 49Z321 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6457738010 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: NY6620 . This is a "EYE MED" identifier . This identifiers is of the category "OTHER".




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