Individual
ANANO ZANGALADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(215) 456-3221
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT209496
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
310068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06684028
—
NY
Enumeration date
06/25/2015
Last updated
03/14/2025
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