David Zucker MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

027757 Issued in CT

Legal business name

DAVID ZUCKER MD LLC

Practice address

999 Oronoque LN
3Rd Floor
Stratford, CT 06614-1379

Phone

(203) 873-0333

Fax

(203) 873-0336

NPI assigned

Apr 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Zucker, MD

Title

President

Phone

(203) 873-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1720253578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ORONOQUE LANE",
            "address_2": "3RD FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141379",
            "telephone_number": "203-873-0333",
            "fax_number": "203-873-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ORONOQUE LN",
            "address_2": "3RD FLOOR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141379",
            "telephone_number": "203-873-0333",
            "fax_number": "203-873-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ZUCKER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-873-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "027757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D100000095",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Dalena, D.M.D
• Elizabeth Rose Damon, LPC, R-DMT
• Maria Dates
• David H. McCullough, M.D. & Associates, LLC
• David M. Pagar, D.D.S., P.C.
• Hillary Davis
• Melinda Davis, PA-C, MPAS
• Shaday Nakai Davis
• Dbi Behavioral Health Solutions PLLC
• Debra L. Tomaselli, LMFT, LLC

• Psychiatry Physician in Stratford, CT
• Providers in Stratford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.