Provider Demographics
NPI:1871674960
Name:ZABARSKIY, ROMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMAN
Middle Name:
Last Name:ZABARSKIY
Suffix:
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 1:4546 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2527
Mailing Address - Country:US
Mailing Address - Phone:718-645-5290
Mailing Address - Fax:718-645-7288
Practice Address - Street 1:4546 BEDFORD AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-645-2900
Practice Address - Fax:718-645-7288
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225215207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02280353Medicaid
NYH71978Medicare UPIN
NYWDK321Medicare ID - Type Unspecified