Healthcare Provider Details

I. General information

NPI: 1710933395
Provider Name (Legal Business Name): DANI M ZAVASKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 78TH ST
NEW YORK NY
10075-1243
US

IV. Provider business mailing address

205 E 78TH ST
NEW YORK NY
10075-1243
US

V. Phone/Fax

Practice location:
  • Phone: 917-526-2311
  • Fax: 212-861-0412
Mailing address:
  • Phone: 917-526-2311
  • Fax: 212-861-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number218368
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: