Healthcare Provider Details

I. General information

NPI: 1336387075
Provider Name (Legal Business Name): JOANNA ZASLOFF CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 JEFFERSON AVE # 2
BROOKLYN NY
11221-1005
US

IV. Provider business mailing address

5925 15TH AVE
BROOKLYN NY
11219-5009
US

V. Phone/Fax

Practice location:
  • Phone: 262-622-6634
  • Fax: 646-839-2752
Mailing address:
  • Phone: 718-972-2700
  • Fax: 718-972-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License NumberF001327
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number589167
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberF001327
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: