Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 046114 | NY |
NPI | 1033431598 |
---|---|
Provider Name | Dr. Margaret Zadnik |
First Address | Islip, NY 11751-3538 |
Second Address | Islip, NY 11751-3538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2010 |
Last Update Date | 24/02/2010 |