Healthcare Provider Details

I. General information

NPI: 1275513814
Provider Name (Legal Business Name): JANE ZENDARSKI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N 4TH ST 2ND FLR
LEBANON PA
17046-5606
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-274-0474
  • Fax: 717-274-0673
Mailing address:
  • Phone: 717-274-0474
  • Fax: 717-270-2374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberOKO000056
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberOS009239L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009239L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: