Healthcare Provider Details

I. General information

NPI: 1710953997
Provider Name (Legal Business Name): RENAE L ZINSKY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LOTHROP ST PUH, SUITE C800
PITTSBURGH PA
15213-2546
US

IV. Provider business mailing address

200 LOTHROP ST PUH, SUITE C800
PITTSBURGH PA
15213-2546
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-7555
  • Fax:
Mailing address:
  • Phone: 412-647-7555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA051252
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: