MEDICARE: DR. ZOYA TREYSTER 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	270592	NY
2	207K00000X	Allergy & Immunology Physician	270592	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	:	1578852240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZOYA TREYSTER M.D.

Provider Business Mailing Address
First Line	:	1525 BLONDELL AVE STE 101
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 WEST 157TH STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-5058
Country	:	US
Telephone Number	:	212-781-7979
Fax Number	:	212-781-7963

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

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	05/20/2020

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