Healthcare Provider Details

I. General information

NPI: 1114965860
Provider Name (Legal Business Name): STEVEN V ZYGMONT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BRITTONFIELD PKWY STE B150
EAST SYRACUSE NY
13057-9215
US

IV. Provider business mailing address

1001 W FAYETTE ST STE 400
SYRACUSE NY
13204-2866
US

V. Phone/Fax

Practice location:
  • Phone: 315-766-1627
  • Fax: 315-201-8711
Mailing address:
  • Phone: 315-937-3433
  • Fax: 315-449-0558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number206394
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: