Zanolin, Domenico

Zanolin, Domenico is an individual health care provider with primary practice located at 1111 Montauk Hwy , West Islip NY 11795-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Zanolin, Domenico can be contacted via phone (631) 661-2520.

Contact Information

Primary practice address
1111 Montauk Hwy West Islip NY 11795-4910
Fax: (631) 669-6502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 207059 New York

Profile Details

NPI number 1457345860
LBN Legal business name Zanolin, Domenico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457345860 NPPES
New York MEDICAID 01817289

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