Provider Demographics
NPI:1336387075
Name:ZASLOFF, JOANNA (CNM)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:ZASLOFF
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5009
Mailing Address - Country:US
Mailing Address - Phone:718-972-2700
Mailing Address - Fax:718-972-2701
Practice Address - Street 1:469 JEFFERSON AVE # 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-1005
Practice Address - Country:US
Practice Address - Phone:262-622-6634
Practice Address - Fax:646-839-2752
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001327282NW0100X, 207V00000X
NY589167282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No282NW0100XHospitalsGeneral Acute Care HospitalWomen
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03078457Medicaid