Healthcare Provider Details

I. General information

NPI: 1013297845
Provider Name (Legal Business Name): ALAN ZATS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2279 CONEY ISLAND AVE
BROOKLYN NY
11223-3337
US

IV. Provider business mailing address

2279 CONEY ISLAND AVE
BROOKLYN NY
11223-3337
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-9890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number307255
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number307255
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number014673
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number307255
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: