Provider Demographics
NPI:1932476736
Name:ZAMENSKI, ABBY ELSAIDI (PA-C)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:ELSAIDI
Last Name:ZAMENSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26179 NOVI RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1140
Mailing Address - Country:US
Mailing Address - Phone:248-912-1919
Mailing Address - Fax:
Practice Address - Street 1:26179 NOVI RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1140
Practice Address - Country:US
Practice Address - Phone:248-912-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601006242363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical