Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 256848 | NY |
N | 208600000X | Surgeon | 256848 | NY |
N | 208200000X | Surgeon | MD432356 | PA |
N | 208600000X | Surgeon | MD432356 | PA |
N | 2086X0206X | Surgical Oncologist | 256848 | NY |
Y | 2086X0206X | Surgical Oncologist | 62463 | CT |
N | 2086X0206X | Surgical Oncologist | MD432356 | PA |
NPI | 1235320474 |
---|---|
Provider Name | Mr. Gregory Zanieski |
First Address | New Haven, CT 06520 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 30/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03227869 | (05) | NY |