Provider Demographics
NPI:1124099148
Name:ZABIROWICZ, KALMAN (OD)
Entity type:Individual
Prefix:DR
First Name:KALMAN
Middle Name:
Last Name:ZABIROWICZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 E MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2800
Mailing Address - Country:US
Mailing Address - Phone:631-224-4834
Mailing Address - Fax:631-277-7325
Practice Address - Street 1:369 E MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2800
Practice Address - Country:US
Practice Address - Phone:631-224-4834
Practice Address - Fax:631-277-7325
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT-003811152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY412167012OtherVISION SERVICE PLAN
NY3795886OtherAETNA PROVIDER NUMBER
NY50499OtherDAVIS VISION PROVIDER NO
NYKZ0C411H10OtherEMPIRE BC BS PIN
NY3213843OtherCIGNA PPO OAP
NYP00253979OtherRAILROAD MEDICARE
NY3795886OtherAETNA PROVIDER NUMBER
NY153812OtherCOMP BENEFITS VCP
NY153812OtherCOMP BENEFITS VCP
NY50499OtherDAVIS VISION PROVIDER NO
NY156946POtherHIP PROVIDER NUMBER
NY15889OtherVYTRA PROVIDER NUMBER
NY2403OtherHEALTHCARE PARTNERS PROVIDER NUMBER