Individual
DR. STANLEY JOHN ZAWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1257 150TH ST, WHITESTONE, NY 11357-1752
(718) 767-5555
(718) 767-5353
Mailing address
1257 150TH ST, WHITESTONE, NY 11357-1752
(718) 767-5555
(718) 767-5353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N-003845
NY
213ER0200X
Radiology Podiatrist
N-003845
NY
213ES0000X
Sports Medicine Podiatrist
N-003845
NY
213ES0131X
Foot Surgery Podiatrist
N-003845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858168
—
NY
Enumeration date
08/05/2006
Last updated
09/21/2021
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