Healthcare Provider Details

I. General information

NPI: 1649180118
Provider Name (Legal Business Name): MARIAM ZINA DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 JOEL DR
NORTH BELLMORE NY
11710-2112
US

IV. Provider business mailing address

2406 JOEL DR
NORTH BELLMORE NY
11710-2112
US

V. Phone/Fax

Practice location:
  • Phone: 516-587-1100
  • Fax:
Mailing address:
  • Phone: 516-587-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIAM TABATABAIE
Title or Position: MANAGING PARTNER
Credential: DDS
Phone: 516-587-1100