Healthcare Provider Details

I. General information

NPI: 1124183348
Provider Name (Legal Business Name): ZDRAVKA ZAFIROVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZDRAVKA DIMITROVA ZAFIROVA MD

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL ANESTHESIOLOGY - BOX 1010
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

PO BOX 12023
NEWARK NJ
07101-5023
US

V. Phone/Fax

Practice location:
  • Phone: 800-627-4470
  • Fax: 412-937-5710
Mailing address:
  • Phone: 212-427-2666
  • Fax: 212-289-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number265378
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number265378
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number265378
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: