Provider Demographics
NPI:1396700076
Name:ZIRNA, HARRY I (DPM)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:I
Last Name:ZIRNA
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 1:300 OHIO STREET
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103
Mailing Address - Country:US
Mailing Address - Phone:585-798-1515
Mailing Address - Fax:585-798-2338
Practice Address - Street 1:6272 ROBINSON ROAD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094
Practice Address - Country:US
Practice Address - Phone:716-434-3338
Practice Address - Fax:716-478-0558
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN3826213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
101953EQOtherPREFERRED CARE
8084OtherBS ROCHESTER
NY00915137Medicaid
161303835OtherEMPIRE
8903858OtherIHA
00010254301OtherUNIVERA
P010003826OtherBLUE CHOICE
000500749001OtherBS WNY
8903858OtherIHA
8084OtherBS ROCHESTER