Individual
AMIRA ZACHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MILLBURN AVE STE 207, MILLBURN, NJ 07041-1935
(917) 602-8442
Mailing address
38 BOGERT AVE, STATEN ISLAND, NY 10314-5677
(917) 602-8442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02796600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
04/12/2018
Last updated
03/23/2026
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