Provider Demographics
NPI:1528110483
Name:SAFAR, ZDENKA (MD)
Entity type:Individual
Prefix:
First Name:ZDENKA
Middle Name:
Last Name:SAFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:14136
Mailing Address - Country:US
Mailing Address - Phone:716-934-4158
Mailing Address - Fax:716-934-4971
Practice Address - Street 1:194 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:NY
Practice Address - Zip Code:14136
Practice Address - Country:US
Practice Address - Phone:716-934-4158
Practice Address - Fax:716-934-4971
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110031208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000503932002OtherBLUE CROSS OF WNY
041026000158OtherFIDELIS
1201425OtherINDEPENDENT HEALTH
00010154202OtherUNIVERA