MEDICARE: LORI GOLDMAN ZBAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	243610	NY

General Provider Information

NPI Number	:	1194939074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI GOLDMAN ZBAR M.D.

Provider Business Mailing Address
First Line	:	108 E 86TH ST
Second Line	:	APT 8 SOUTH
City	:	NEW YORK
State	:	NY
Zip	:	10028-1024
Country	:	US
Telephone Number	:	917-224-8705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	BOX 1512
City	:	NEW YORK
State	:	NY
Zip	:	10029-6500
Country	:	US
Telephone Number	:	212-659-8559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	05/31/2013

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