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Alex Jason Zimmerman
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1942941778

Alex Jason Zimmerman is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Alex Jason Zimmerman practices in Port Jefferson, NY. The NPI Number for Alex Jason Zimmerman is 1942941778 and holds a License No. (New York).

The current practice location address for Alex Jason Zimmerman is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6000.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11777-1928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942941778
Provider Name
Alex Jason Zimmerman
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Belle Terre Rd, Port Jefferson, NY, 11777-1928
Phone Number
631-474-6000
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6000
Fax Number
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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