Healthcare Provider Details

I. General information

NPI: 1780743799
Provider Name (Legal Business Name): ROBERT W ZEMBROSKI DC, DACNB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 POST RD
DARIEN CT
06820-4613
US

IV. Provider business mailing address

870 POST RD
DARIEN CT
06820-4613
US

V. Phone/Fax

Practice location:
  • Phone: 203-655-4494
  • Fax: 203-655-7577
Mailing address:
  • Phone: 203-655-4494
  • Fax: 203-655-7577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number1043
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: