Provider Demographics
NPI:1114157286
Name:SHMUTER, ZOYA B (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOYA
Middle Name:B
Last Name:SHMUTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZOYA
Other - Middle Name:B
Other - Last Name:SCHMUTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:444 E 86TH ST APT 19H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6461
Mailing Address - Country:US
Mailing Address - Phone:212-744-2340
Mailing Address - Fax:
Practice Address - Street 1:444 E 86TH ST APT 19H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6461
Practice Address - Country:US
Practice Address - Phone:212-744-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167347-1207ZF0201X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology