Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 046222-1 | NY |
NPI | 1043485477 |
---|---|
Provider Name | Dr. Alison Sarah Zuccala |
First Address | Orchard Park, NY 14127-2401 |
Second Address | Orchard Park, NY 14127-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2008 |
Last Update Date | 27/04/2008 |