Provider Demographics
NPI:1073849600
Name:ZAIENTZ, SHERI NAN
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:NAN
Last Name:ZAIENTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1478 ANDREWS LN
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3622
Mailing Address - Country:US
Mailing Address - Phone:516-481-3708
Mailing Address - Fax:
Practice Address - Street 1:1478 ANDREWS LN
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-3622
Practice Address - Country:US
Practice Address - Phone:516-481-3708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005279225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist