Healthcare Provider Details

I. General information

NPI: 1417249202
Provider Name (Legal Business Name): EKATERINI ZAPANTIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 HARLEM RD
CHEEKTOWAGA NY
14225-4558
US

IV. Provider business mailing address

2475 HARLEM RD
CHEEKTOWAGA NY
14225-4558
US

V. Phone/Fax

Practice location:
  • Phone: 716-322-5428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number272157
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: