Basic Information
| Provider Information | |||||||||
| NPI: | 1285822841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZLOTNICK | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | RN DRPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1241 SOLANO AVE | ||||||||
| Address2: | #36 | ||||||||
| City: | ALBANY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 947061752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5105265609 | ||||||||
| FaxNumber: | 5106013913 | ||||||||
| Practice Location | |||||||||
| Address1: | 747 52ND ST | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946091809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104283783 | ||||||||
| FaxNumber: | 5106013913 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 10/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364S00000X | 918 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
No ID Information.