Individual
DR. THOMAS JOSEPH ZICARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
654 MADISON AVE, SUITE 1706, NEW YORK, NY 10021-8404
(212) 421-9565
Mailing address
654 MADISON AVE, SUITE 1706, NEW YORK, NY 10021-8404
(212) 421-9565
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
041219
NY
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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