Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 239311 | NY |
Y | 2080P0203X | Pediatric Critical Care Doctor | 239311 | NY |
NPI | 1306803887 |
---|---|
Provider Name | Christine A. Zawistowski |
First Address | New York, NY 10029 |
Second Address | New York, NY 10029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 27/01/2012 |