National Provider Identifier

Henry Leo Zimmer IV, MD

Henry Leo Zimmer IV, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1104670702Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1104670702
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 11, 2024
Last Updated
April 11, 2024

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 756-4800

Mailing Address

  • 601 Elmwood Ave # 604
  • Rochester, NY 14642-0001

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1104670702
Entity Type
Individual
Last Name
Zimmer
First Name
Henry
Middle Name
Leo
Name Prefix
Mr.
Name Suffix
IV
Credential
MD
Mailing Street Address
601 Elmwood Ave # 604
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 276-4250
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 756-4800
Enumeration Date
April 11, 2024
Last Updated
April 11, 2024
Sex
Male
Sole Proprietor
No
Certification Date
April 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)