Healthcare Provider Details

I. General information

NPI: 1417002825
Provider Name (Legal Business Name): EUGENE G ZAPPI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 E 87TH ST # 1B
NEW YORK NY
10128-0506
US

IV. Provider business mailing address

21 E 87TH ST
NEW YORK NY
10128-0506
US

V. Phone/Fax

Practice location:
  • Phone: 212-410-5004
  • Fax: 212-410-5330
Mailing address:
  • Phone: 212-410-5004
  • Fax: 212-410-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number179569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: