Provider Demographics
NPI:1710933395
Name:ZAVASKY, DANI M (MD)
Entity Type:Individual
Prefix:
First Name:DANI
Middle Name:M
Last Name:ZAVASKY
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 1:205 E 78TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1243
Mailing Address - Country:US
Mailing Address - Phone:917-526-2311
Mailing Address - Fax:212-861-0412
Practice Address - Street 1:205 E 78TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1243
Practice Address - Country:US
Practice Address - Phone:917-526-2311
Practice Address - Fax:212-861-0412
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218368207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH12262Medicare UPIN
NY854251Medicare PIN