Provider Demographics
NPI:1841360971
Name:ZELTSMAN, VADIM (MD)
Entity type:Individual
Prefix:
First Name:VADIM
Middle Name:
Last Name:ZELTSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:ZELTSMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:225 COMMUNITY DR
Mailing Address - Street 2:DIVISION OF THORACIC SURGERY - SUITE 110
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5503
Mailing Address - Country:US
Mailing Address - Phone:516-918-4388
Mailing Address - Fax:516-918-4387
Practice Address - Street 1:225 COMMUNITY DR
Practice Address - Street 2:DIVISION OF THORACIC SURGERY - SUITE 110
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5503
Practice Address - Country:US
Practice Address - Phone:516-918-4388
Practice Address - Fax:516-918-4387
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236936208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)