# JOHN ZASO DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336726223
- **Authorized official:** JOHN ZASO DO (PROVIDER AND OWNER)
- **Authorized official phone:** (631) 670-7700

## Contact information

- **Practice address:** 611 MERRICK AVE, EAST MEADOW, NY 11554-3703
- **Practice address phone:** (516) 794-7969
- **Mailing address:** 994 W JERICHO TPKE STE 202A, SMITHTOWN, NY 11787-3211
- **Mailing address phone:** (631) 670-7700
- **Mailing address fax:** (631) 343-7760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021