Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 234725 | NY |
N | 207W00000X | Ophthalmologist | 25M07927500 | NJ |
N | 207W00000X | Ophthalmologist | ME97652 | FL |
NPI | 1033304779 |
---|---|
Provider Name | Dr. Lisa Anne Zdinak |
First Address | New York, NY 10021-3272 |
Second Address | New York, NY 10021-3272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 25/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I34112 | (02) | NJ |