Provider Demographics
NPI:1124129861
Name:ZEANA, COSMINA B (MD)
Entity type:Individual
Prefix:DR
First Name:COSMINA
Middle Name:B
Last Name:ZEANA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1831 MADISON AVE
Mailing Address - Street 2:# 8D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2750
Mailing Address - Country:US
Mailing Address - Phone:212-427-2906
Mailing Address - Fax:212-939-2968
Practice Address - Street 1:506 MALCOLM X BLVD
Practice Address - Street 2:WP-522
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-2740
Practice Address - Fax:212-939-2759
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-10-15
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Provider Licenses
StateLicense IDTaxonomies
NY224235207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2X0091Medicare ID - Type Unspecified
NYH51870Medicare UPIN