MEDICARE: LEE M ZANK 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	207L00000X	Anesthesiology Physician	193286	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518050350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE M ZANK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 270
Second Line	:
City	:	MASSAPEQUA PARK
State	:	NY
Zip	:	11762-0270
Country	:	US
Telephone Number	:	631-264-2035
Fax Number	:	631-264-1418

Provider Business Practice Location Address
First Line	:	210 E 64TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7471
Country	:	US
Telephone Number	:	212-434-2878
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/19/2010

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Directions to “ LEE M ZANK M.D.” Practice Location

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