Provider Demographics
NPI:1023532439
Name:ZIEMBA, YONAH (MD)
Entity type:Individual
Prefix:
First Name:YONAH
Middle Name:
Last Name:ZIEMBA
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 1:14416 JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1733
Mailing Address - Country:US
Mailing Address - Phone:718-487-4197
Mailing Address - Fax:
Practice Address - Street 1:6 OHIO DR
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1124
Practice Address - Country:US
Practice Address - Phone:516-304-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program