Provider Demographics
NPI:1629808282
Name:EMPIRE PEDIATRICS PLLC
Entity type:Organization
Organization Name:EMPIRE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ZASO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-794-7969
Mailing Address - Street 1:613 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-3740
Mailing Address - Country:US
Mailing Address - Phone:516-794-7969
Mailing Address - Fax:516-794-4215
Practice Address - Street 1:611 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-3703
Practice Address - Country:US
Practice Address - Phone:516-794-7969
Practice Address - Fax:516-794-4215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty