Provider Demographics
NPI:1619145869
Name:ZALMAN D STAROSTA MD PC
Entity Type:Organization
Organization Name:ZALMAN D STAROSTA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ZALMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STAROSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-943-3000
Mailing Address - Street 1:3044 CONEY ISLAND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5224
Mailing Address - Country:US
Mailing Address - Phone:718-943-3000
Mailing Address - Fax:718-943-3006
Practice Address - Street 1:3044 CONEY ISLAND AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5224
Practice Address - Country:US
Practice Address - Phone:718-943-3000
Practice Address - Fax:718-943-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129036207RC0000X
NY167306207RE0101X
NY3583207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01068799Medicaid
NY20E581Medicare PIN
NY01068799Medicaid