Provider Demographics
NPI:1932855020
Name:SUSAN ZONA-O'BYRNE PEDIATRICS PLLC
Entity Type:Organization
Organization Name:SUSAN ZONA-O'BYRNE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONA-O'BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-351-9745
Mailing Address - Street 1:211 MEISNER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-1245
Mailing Address - Country:US
Mailing Address - Phone:718-351-9745
Mailing Address - Fax:
Practice Address - Street 1:98 ROSE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2242
Practice Address - Country:US
Practice Address - Phone:718-351-9800
Practice Address - Fax:646-867-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-27
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty