Healthcare Provider Details
I. General information
NPI: 1700970233
Provider Name (Legal Business Name): MARIA LINDA PENETRANTE ZAPSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 09/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
192 RTE117 BYPASS ROAD CAREMOUNT MEDICAL PC
BEDFORD HILLS NY
10507-2146
US
IV. Provider business mailing address
110 S BEDFORD RD CAREMOUNT MEDICAL PC
MOUNT KISCO NY
10549-3446
US
V. Phone/Fax
- Phone: 914-241-1050
- Fax: 914-232-3826
- Phone: 914-241-1050
- Fax: 914-232-3826
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 214658 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: