Provider Demographics
NPI:1740373166
Name:ZIELNIK, HANNA (MD)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:
Last Name:ZIELNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6049 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5139
Mailing Address - Country:US
Mailing Address - Phone:718-383-0301
Mailing Address - Fax:718-336-1112
Practice Address - Street 1:6049 69TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5139
Practice Address - Country:US
Practice Address - Phone:718-383-0301
Practice Address - Fax:718-336-1112
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222224208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02240408Medicaid
NY474X62Medicare ID - Type Unspecified
NY02240408Medicaid