Provider Demographics
NPI:1790894665
Name:KALMAN ZABIROWICZ OD PC
Entity Type:Organization
Organization Name:KALMAN ZABIROWICZ OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABIROWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-224-4834
Mailing Address - Street 1:369 E MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2800
Mailing Address - Country:US
Mailing Address - Phone:631-224-4834
Mailing Address - Fax:631-277-7325
Practice Address - Street 1:369 E MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2800
Practice Address - Country:US
Practice Address - Phone:631-224-4834
Practice Address - Fax:631-277-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT-003811152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY50499OtherDAVIS VISION PROVIDER NUM
NY3795886OtherAETNA PROVIDER NUMBER
NYKZ0C411H10OtherEMPIRE BC BS PIN
NY3213843OtherCIGNA PPO OAP
NYDD8264OtherRAILROAD MEDICARE
NYKZ0C411H10OtherEMPIRE BC BS PIN
NY3213843OtherCIGNA PPO OAP
NYDD8264OtherRAILROAD MEDICARE
NYKZ0C411H10OtherEMPIRE BC BS PIN
NYCAWWK1Medicare PIN
NY153812OtherCOMP BENEFITS VCP
NYKZ0C411H10OtherEMPIRE BC BS PIN
NYCAWWK1Medicare PIN