Individual
AUGUSTO A ZEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 ONDERDONK AVE, RIDGEWOOD, NY 11385-1334
(718) 418-3335
(718) 418-6584
Mailing address
672 DOGWOOD AVE STE 398, FRANKLIN SQUARE, NY 11010-3247
(718) 418-3335
(718) 418-6584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214540
NY
Other
Enumeration date
02/21/2007
Last updated
04/24/2025
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