Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D0063375 | MD |
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0063375 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0063375 | MD |
N | 207XS0117X | Orthopaedic Spine Surgeon | D0063375 | MD |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0063375 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | D0063375 | MD |
N | 207XX0801X | Orthopaedic Trauma Surgeon | D0063375 | MD |
NPI | 1578516225 |
---|---|
Provider Name | Dan Ariel Zlotolow |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009858200 | (05) | MD |
1578516225 | NPI (01) | MD |
G02649 | DC MEDICARE GROUP ID# (01) | DC |