Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | LIC034922 | NY |
NPI | 1003018557 |
---|---|
Provider Name | Mrs. Elizabeth S Zurawski |
First Address | Staten Island, NY 10306 |
Second Address | Staten Island, NY 10306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 08/07/2007 |