| David J. Zegarelli D.d.s. Pllc | |
|
200 Central Park S Suite 105 New York NY 10019-1436 | |
| (914) 923-0924 | |
| Not Available |
| Full Name | David J. Zegarelli D.d.s. Pllc |
|---|---|
| Speciality | Dentist |
| Location | 200 Central Park S, New York, New York |
| Authorized Official Name and Position | Marie Farrell (DIRECTOR CODING) |
| Authorized Official Contact | 8456346500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Zegarelli D.d.s. Pllc 380 S State Rd Briarcliff NY 10510-2228 Ph: (914) 923-0924 | David J. Zegarelli D.d.s. Pllc 200 Central Park S Suite 105 New York NY 10019-1436 Ph: (914) 923-0924 |
| NPI Number | 1306088505 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 3971651449 |
|---|---|
| Medicare Enrollment ID | O20090512000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306088505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 028000-1 (New York) | Primary |
| Provider Name | David J Zegarelli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346251170 PECOS PAC ID: 0446236954 Enrollment ID: I20040625000660 |
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