Provider Demographics
NPI:1558570051
Name:ZASLOFSKY, JUDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:ZASLOFSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 RIVERSIDE DR
Mailing Address - Street 2:#4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-7459
Mailing Address - Country:US
Mailing Address - Phone:212-368-7655
Mailing Address - Fax:
Practice Address - Street 1:790 RIVERSIDE DR
Practice Address - Street 2:#4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-7459
Practice Address - Country:US
Practice Address - Phone:212-368-7655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine