MEDICARE: LISA MARIE ZABELNY MD

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	207Q00000X	Family Medicine Physician	200790	NY

General Provider Information

NPI Number	:	1548233679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MARIE ZABELNY MD

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:	585-922-1900
Fax Number	:	585-922-1002

Provider Business Practice Location Address
First Line	:	1425 PORTLAND AVE
Second Line	:	WILSON BUILDING
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3095
Country	:	US
Telephone Number	:	585-922-4000
Fax Number	:	585-338-2997

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	11/14/2018

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