Provider Demographics
NPI:1558567347
Name:ROBERT ZARETSKY,MD,FACS AND STEVEN ZARETSKY,MD,FAAOS,CIME, PLLC
Entity Type:Organization
Organization Name:ROBERT ZARETSKY,MD,FACS AND STEVEN ZARETSKY,MD,FAAOS,CIME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-427-3098
Mailing Address - Street 1:134 EAST 93RD STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1608
Mailing Address - Country:US
Mailing Address - Phone:212-427-3098
Mailing Address - Fax:212-427-4457
Practice Address - Street 1:134 EAST 93RD STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1608
Practice Address - Country:US
Practice Address - Phone:212-427-3098
Practice Address - Fax:212-427-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0826131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE56562Medicare UPIN
NYB02709Medicare UPIN