Provider Demographics
NPI:1770741688
Name:ZAMNIAK, KAREN A (FNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:ZAMNIAK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 CAZENOVIA ROAD
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-1316
Mailing Address - Country:US
Mailing Address - Phone:315-682-1689
Mailing Address - Fax:
Practice Address - Street 1:8112 CAZENOVIA RD
Practice Address - Street 2:WEIGHT LOSS INSTITUTE OF CNY
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-9780
Practice Address - Country:US
Practice Address - Phone:315-682-1689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily