Provider Demographics
NPI:1750447579
Name:ZISMAN, SHARON R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:ZISMAN
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 1:200 EAST END AVE
Mailing Address - Street 2:7 E
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7889
Mailing Address - Country:US
Mailing Address - Phone:212-860-8788
Mailing Address - Fax:
Practice Address - Street 1:65 EAST 95 STREET
Practice Address - Street 2:1 B
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10128-0776
Practice Address - Country:US
Practice Address - Phone:212-427-3339
Practice Address - Fax:212-427-0232
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192859 1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56L44OtherEMPIRE BLUE CROSS BLUE SH
NYP435925OtherOXFORD HEALTH PLANS
NY56L441Medicare ID - Type Unspecified
NYP435925OtherOXFORD HEALTH PLANS