Individual
DR. DAVID JAMES ZEGARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
87 N BROADWAY, TARRYTOWN, NY 10591-3231
(914) 631-9088
Mailing address
630 W 168TH ST, PH 15W- 1562, NEW YORK, NY 10032-3725
(212) 305-4599
(212) 305-5958
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
028200-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
028200-1
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
028200-1
NY
207ZP0101X
Anatomic Pathology Physician
028200-1
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
028200-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057843
—
NJ
01
—
02Q131
EMPIRE BCBS
NY
Enumeration date
08/10/2006
Last updated
12/21/2007
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