Provider Demographics
NPI:1235320474
Name:ZANIESKI, GREGORY (MD)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:
Last Name:ZANIESKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 208062, 330 CEDAR ST, FMB130
Mailing Address - Street 2:DEPARTMENT OF SURGERY, SECTION OF SURGICAL ONCOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520
Mailing Address - Country:US
Mailing Address - Phone:203-785-3577
Mailing Address - Fax:
Practice Address - Street 1:SMILOW CANCER HOSPITAL AT YALE-NEW HAVEN
Practice Address - Street 2:35 PARK STREET, 8TH FLOOR CLINIC
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510
Practice Address - Country:US
Practice Address - Phone:203-785-3577
Practice Address - Fax:203-737-4067
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY256848208600000X, 2086X0206X
PAMD432356208600000X, 2086X0206X
CT624632086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03227869Medicaid