Healthcare Provider Details

I. General information

NPI: 1962513689
Provider Name (Legal Business Name): ZANA DOBROSHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 FIFTH AVENUE
NEW YORK NY
10029
US

IV. Provider business mailing address

1301 FIFTH AVENUE
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-426-3400
  • Fax: 212-410-7561
Mailing address:
  • Phone: 212-426-3400
  • Fax: 212-410-7561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number219053
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: