Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 265378 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 265378 | NY |
NPI | 1124183348 |
---|---|
Provider Name | Zdravka Zafirova |
First Address | Newark, NJ 07101-5023 |
Second Address | New York, NY 10029-6500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036108739 | (05) | IL |