Healthcare Provider Details

I. General information

NPI: 1841153178
Provider Name (Legal Business Name): ZEN HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4237 STATE ROUTE 244
BELMONT NY
14813-9545
US

IV. Provider business mailing address

PO BOX 12
GERMANTON NC
27019-0012
US

V. Phone/Fax

Practice location:
  • Phone: 607-425-4712
  • Fax: 607-354-4504
Mailing address:
  • Phone: 607-425-4712
  • Fax: 607-354-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMMI LOPER
Title or Position: PRACTICE MANAGER
Credential:
Phone: 607-425-4712