Provider Demographics
NPI:1578631289
Name:ZLATIN, ABRAHAM (OD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:
Last Name:ZLATIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 WILMOT RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-472-5932
Mailing Address - Fax:914-472-7485
Practice Address - Street 1:213 W 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6241
Practice Address - Country:US
Practice Address - Phone:212-724-8855
Practice Address - Fax:212-724-8081
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS449152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6795352OtherCIGNA
1776453OtherUNITED
NY5203902Medicaid
P3031066OtherOXFORD
NY421603008OtherHORIZON
P1851925OtherOXFORD
6599447OtherGHI
516103OtherAETNA
P3031066OtherOXFORD
6795352OtherCIGNA
6599447OtherGHI
NYC0765CAGZ1Medicare PIN