Healthcare Provider Details

I. General information

NPI: 1780938548
Provider Name (Legal Business Name): ZOLTAN I SAARY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 PARK AVE
NEW YORK NY
10021-3295
US

IV. Provider business mailing address

815 PARK AVE
NEW YORK NY
10021-3295
US

V. Phone/Fax

Practice location:
  • Phone: 212-744-0300
  • Fax: 212-472-5794
Mailing address:
  • Phone: 212-744-0300
  • Fax: 212-472-5794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number108575
License Number StateNY

VIII. Authorized Official

Name: ZOLTAN I SAARY
Title or Position: OWNER
Credential: MD PC
Phone: 212-744-0300