Provider Demographics
NPI:1043690266
Name:ZAGARIA, LAUREN STEPHANIE (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:STEPHANIE
Last Name:ZAGARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:STEPHANIE
Other - Last Name:KOHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:70 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-2211
Mailing Address - Country:US
Mailing Address - Phone:516-922-1151
Mailing Address - Fax:516-922-5978
Practice Address - Street 1:70 W MAIN ST
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2211
Practice Address - Country:US
Practice Address - Phone:516-922-1151
Practice Address - Fax:516-922-5978
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine