MEDICARE: ASMAAA ZABRISKIE

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	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1841939014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASMAAA ZABRISKIE

Provider Business Mailing Address
First Line	:	325 MAIN ST APT 1H
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-3674
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	933B MORRIS PARK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-3711
Country	:	US
Telephone Number	:	718-378-2229
Fax Number	:

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

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	06/03/2022

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Directions to “ ASMAAA ZABRISKIE ” Practice Location

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