IndividualActive
Jordan Zuckerman, M.D.
NPI 1043205016 · Procedural Dermatology Physician · Bayside, NY
Provider details
- NPI number
- 1043205016
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 168660 (NY)
Practice location
2383 Bell Blvd
Upper Level
Bayside, NY 11360-2053
Phone: (718) 423-0200
Fax: (718) 423-3134
Mailing address
2383 Bell Blvd
Bayside, NY 11360-2053
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.