Healthcare Provider Details

I. General information

NPI: 1598696593
Provider Name (Legal Business Name): JUSTYNA POZNANSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUSTYNA ZAKI MD

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E STATE ST
SHARON PA
16146-3328
US

IV. Provider business mailing address

3960 UNITED RD
AGOURA HILLS CA
91301-3627
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-3911
  • Fax:
Mailing address:
  • Phone: 860-917-9549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.261367
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: