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General NPI Number Information
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NPI Number | 1306957477
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Entity Type | Organization
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Legal Business Name | ZHANNA LOGMAN MD PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 877 STEWART AVENUE SUITE 6
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-222-7818
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Fax | 516-222-7816
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Provider Business Mailing Address
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Address Line | PO BOX 1379
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City | EAST NORTHPORT
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State | NY
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Zip | 11731
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Country | US
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Telephone | 516-222-7818
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Fax | 516-222-7816
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BONNIE E PLAUSKI
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Credential |
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Telephone | 516-222-7818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 212635-1
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License Number State | NY
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