Provider Demographics
NPI:1811137870
Name:ZAYAS, MARY PATRICIA (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:PATRICIA
Last Name:ZAYAS
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:1 PEN PLAZA, 7TH FL. STE. 725
Mailing Address - Street 2:EVERCARE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-216-6568
Mailing Address - Fax:212-216-6606
Practice Address - Street 1:1 PEN PLAZA, 7TH FL. STE. 725
Practice Address - Street 2:EVERCARE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-216-6568
Practice Address - Fax:212-216-6606
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY004759363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant