Provider Demographics
NPI:1528160256
Name:OSTERWEIL, ZVI MOSHE (MD)
Entity type:Individual
Prefix:
First Name:ZVI
Middle Name:MOSHE
Last Name:OSTERWEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E 93RD STREET
Mailing Address - Street 2:#18J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3958
Mailing Address - Country:US
Mailing Address - Phone:917-386-7778
Mailing Address - Fax:
Practice Address - Street 1:68 E 86TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028
Practice Address - Country:US
Practice Address - Phone:212-288-8878
Practice Address - Fax:212-861-6285
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229385207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H42801Medicare UPIN
5N7641Medicare ID - Type Unspecified