Provider Demographics
NPI:1831143825
Name:ZORNEK, NICHOLAS FRANK JR (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:FRANK
Last Name:ZORNEK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 MILITARY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-2149
Mailing Address - Country:US
Mailing Address - Phone:716-297-5990
Mailing Address - Fax:
Practice Address - Street 1:5320 MILITARY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2149
Practice Address - Country:US
Practice Address - Phone:716-297-5990
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143121207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00632480Medicaid
NY00632480Medicaid
NYB36138Medicare UPIN