Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 040209-2 | NY |
N | 1223P0700X | Prosthodontist | 22D102490000 | NJ |
NPI | 1073708038 |
---|---|
Provider Name | Dr. Joseph A. Zagami |
First Address | New York, NY 10019-1817 |
Second Address | New York, NY 10019-1817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 02/04/2013 |