MEDICARE: BRUCE ALBERT ZAPPIA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N005183	NY

General Provider Information

NPI Number	:	1093713927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE ALBERT ZAPPIA DPM

Provider Business Mailing Address
First Line	:	575 DEER PARK AVE
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-1926
Country	:	US
Telephone Number	:	631-893-9227
Fax Number	:	631-893-6521

Provider Business Practice Location Address
First Line	:	575 DEER PARK AVE
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-1926
Country	:	US
Telephone Number	:	631-893-9227
Fax Number	:	631-893-6521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	12/02/2009

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