Individual
DR. JACQUELINE ELAINE ZAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
133 BROADWAY, LYNBROOK, NY 11563-3234
(516) 561-3333
Mailing address
133 BROADWAY, LYNBROOK, NY 11563-3234
(917) 587-0321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
054910
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2010
Last updated
10/12/2012
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