Provider Demographics
NPI:1831104231
Name:ZABOROWSKI, JOSEPH S (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:ZABOROWSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 1/2 GUY PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010
Mailing Address - Country:US
Mailing Address - Phone:518-842-0321
Mailing Address - Fax:518-842-0626
Practice Address - Street 1:442 1/2 GUY PARK AVE
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010
Practice Address - Country:US
Practice Address - Phone:518-842-0321
Practice Address - Fax:518-842-0626
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002803-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY37304BOtherMEDICARE
NY00418117Medicaid
NYSP5420OtherMVP
NY0378980001OtherMEDICARE DME
NY10002234OtherCDPHP
NY54209OtherMVP
NYSP5420OtherMVP
NY37304BMedicare ID - Type Unspecified