Active NPI
Laura Juana Zadunaisky, M.D.
- Psychiatry Physician
- West Brentwood, NY
National Provider Identifier
1124167077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 191034
- Practice address
- 998 Crooked Hill Rd
West Brentwood, NY 11717-1043 - Phone
- (631) 761-3081
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 191034 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Rd
West Brentwood, NY 11717-1043
Mailing address
5 S Dorado Cir
Apt. 1 a
Hauppauge, NY 11788-4641
Phone (631) 439-0322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124167077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 S DORADO CIR",
"address_2": "APT. 1 A",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117884641",
"telephone_number": "631-439-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "117171043",
"telephone_number": "631-761-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZADUNAISKY",
"first_name": "LAURA",
"middle_name": "JUANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "191034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.