Individual
DR. MALCOLM BALDWIN ZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
DEPARTMENT OF DENTISTRY; ST BARNABAS HOSPITAL, 4422 THIRD AVENUE;, THE BRONX, NEW YORK, NY 10457
(718) 960-9413
(718) 960-3663
Mailing address
ST BARNABAS HOSPITAL, 4422 THIRD AVENUE; MILLS BUILDING, DENTAL DEPARTMENT, BRONX, NY 10457
(718) 960-9413
(718) 960-3663
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
008919
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021286-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00421412
—
NY
Enumeration date
03/02/2006
Last updated
07/23/2007
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