Basic Information
Provider Information
NPI: 1538354535
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEITOUN
FirstName: NANCY
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 972 BRUSH HOLLOW RD
Address2:  
City: WESTBURY
State: NY
PostalCode: 115901740
CountryCode: US
TelephoneNumber: 5168765555
FaxNumber: 5168761246
Practice Location
Address1: 27005 76TH AVE
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110401433
CountryCode: US
TelephoneNumber: 7184703377
FaxNumber: 7184700827
Other Information
ProviderEnumerationDate: 09/12/2007
LastUpdateDate: 07/06/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X245761NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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