Healthcare Provider Details

I. General information

NPI: 1881822906
Provider Name (Legal Business Name): ZENA ESTHER SARA JOSEPH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZENA ESTHER SARA GEORGE M.D.

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 MIDDLE COUNTRY RD
CORAM NY
11727-4425
US

IV. Provider business mailing address

1 E ROE BLVD
PATCHOGUE NY
11772-2631
US

V. Phone/Fax

Practice location:
  • Phone: 631-698-1111
  • Fax: 631-698-1195
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number266924
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: