Provider Demographics
NPI:1376773630
Name:ZLOTNIKOV-SMOLYARE, DIANE B (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:B
Last Name:ZLOTNIKOV-SMOLYARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:355 POPLAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522-5161
Mailing Address - Country:US
Mailing Address - Phone:914-472-0749
Mailing Address - Fax:914-472-0749
Practice Address - Street 1:355 POPLAR HILL RD
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522
Practice Address - Country:US
Practice Address - Phone:914-472-0749
Practice Address - Fax:914-472-0749
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204960207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism