Healthcare Provider Details

I. General information

NPI: 1205211034
Provider Name (Legal Business Name): LAUREN ZAZZU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 102ND ST
NEW YORK NY
10029-6030
US

IV. Provider business mailing address

150 E 42ND ST FL 5
NEW YORK NY
10017-5612
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6756
  • Fax: 212-423-0522
Mailing address:
  • Phone: 212-987-3100
  • Fax: 212-731-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number307441
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number307441
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberF30744
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: