Doctor Name: | JULIE ZAVADENKO |
NPI Number: | 1013306786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 26NJ00534000 |
Business Practice Address: | 741 Teaneck Rd Teaneck, NJ - 076664243 |
Business Phone Number: | 2018332888 |
Business Fax Number: | 2018331010 |
Mailing Address: | 134 Legion Pl, HILLSDALE |
State: | NJ |
Postal Code: | 076421502 |
Phone Number: | 2012907957 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2015 |
NPI Last Update Date: | 01/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00534000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |