Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 25MB08649200 | NJ |
N | 2081P2900X | Pain Medicine | 52413 | MN |
N | 2081S0010X | Sports Medicine | 25MB08649200 | NJ |
N | 213ES0000X | Sports Medicine | 25MB08649200 | NJ |
NPI | 1285960013 |
---|---|
Provider Name | Dr. Svetlana Zaydman |
First Address | Burnsville, MN 55337-1269 |
Second Address | Burnsville, MN 55337-1269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2009 |
Last Update Date | 16/09/2021 |