Individual
DANIEL A ZALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4295 HEMPSTEAD TPKE, CARE OF MEDICAL STAFF OFFICE, BETHPAGE, NY 11714-5713
(516) 579-6000
Mailing address
1124 BLAKE CT, BROOKLYN, NY 11235-5219
(917) 496-6903
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010334-1
NY
Other
Enumeration date
06/29/2006
Last updated
08/18/2010
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