Healthcare Provider Details

I. General information

NPI: 1154880334
Provider Name (Legal Business Name): ALYSSA ZAIDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

505 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3587
  • Fax: 212-746-8051
Mailing address:
  • Phone: 212-746-3587
  • Fax: 212-746-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD600003928
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: