MEDICARE: DAN ARIEL ZLOTOLOW 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	207X00000X	Orthopaedic Surgery Physician	D0063375	MD
2	207XS0106X	Orthopaedic Hand Surgery Physician	D0063375	MD
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	D0063375	MD
4	207XS0117X	Orthopaedic Surgery of the Spine Physician	D0063375	MD
5	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	D0063375	MD
6	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	D0063375	MD
7	207XX0801X	Orthopaedic Trauma Physician	D0063375	MD
8	207XS0106X	Orthopaedic Hand Surgery Physician	225571	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	:	1578516225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN ARIEL ZLOTOLOW MD

Provider Business Mailing Address
First Line	:	PO BOX 29234
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-9234
Country	:	US
Telephone Number	:
Fax Number	:	813-281-8113

Provider Business Practice Location Address
First Line	:	535 E 70TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4823
Country	:	US
Telephone Number	:	212-774-2642
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/11/2022

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