Skip Navigation

Provider Information for 1285785386

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ADAM LYLE ZATCOFF D.M.D.

Gender: MALE

Individual NPI: 1285785386

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1285785386
Enumeration Date 2007-01-15
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 30 STONER AVE APT 1F
GREAT NECK, NY 11021
United States

Phone: 973-600-4986 | Fax: 516-466-6369
View Map External Link
Primary Practice Address 30 STONER AVE APT 1F
GREAT NECK, NY 11021-2117
United States

Phone: 973-600-4986 | Fax: 516-466-6369
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0300X - Dentist Periodontics NY 051010