Provider Demographics
NPI:1073594008
Name:ZALAZNICK, MICHELLE JEANETTE (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:JEANETTE
Last Name:ZALAZNICK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 HOFSTRA DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1814
Mailing Address - Country:US
Mailing Address - Phone:516-692-2428
Mailing Address - Fax:
Practice Address - Street 1:431 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3313
Practice Address - Country:US
Practice Address - Phone:516-931-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003812-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist