Individual
MR. DANIEL DEAN ZACCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 FOSTER RD, STATEN ISLAND, NY 10309-3017
(718) 948-4393
Mailing address
296 BAYVIEW AVE BSMT, STATEN ISLAND, NY 10309-3636
(347) 278-7671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061122
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2019
Last updated
12/22/2021
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