Provider Demographics
NPI:1750515110
Name:SANTOS-ZABALA, MARIA LAUREANA CUYONG (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA LAUREANA
Middle Name:CUYONG
Last Name:SANTOS-ZABALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 TICE BLVD STE A13
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7654
Mailing Address - Country:US
Mailing Address - Phone:201-256-4247
Mailing Address - Fax:
Practice Address - Street 1:967 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1301
Practice Address - Country:US
Practice Address - Phone:914-964-4412
Practice Address - Fax:914-964-4953
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY265872207ZP0102X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY265872OtherLICENSE