MEDICARE: DR. ABRAHAM ZLATIN OD

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	152W00000X	Optometrist	NYS449	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	516103	OTHER		AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6599447	OTHER		GHI
4	P1851925	OTHER		OXFORD
5	6795352	OTHER		CIGNA
6	421603008	OTHER	NY	HORIZON
7	1776453	OTHER		UNITED
8	P3031066	OTHER		OXFORD

General Provider Information

NPI Number	:	1578631289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM ZLATIN OD

Provider Business Mailing Address
First Line	:	1098 WILMOT RD
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-6863
Country	:	US
Telephone Number	:	914-472-5932
Fax Number	:	914-472-7485

Provider Business Practice Location Address
First Line	:	213 W 79TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6241
Country	:	US
Telephone Number	:	212-724-8855
Fax Number	:	212-724-8081

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	12/19/2024

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Directions to “ DR. ABRAHAM ZLATIN OD” Practice Location

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