Individual
DR. DEREK ZIMBARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
173 E SHORE RD, SUITE 210, GREAT NECK, NY 11024
(516) 487-8110
Mailing address
173 E SHORE RD, SUITE 201, GREAT NECK, NY 11024
(516) 487-8110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047078
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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