Healthcare Provider Details

I. General information

NPI: 1992837959
Provider Name (Legal Business Name): DAVID WILLIAM ZIRLIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 PURCHASE ST
RYE NY
10580-2127
US

IV. Provider business mailing address

50 E HARTSDALE AVE APT 1T
HARTSDALE NY
10530-2725
US

V. Phone/Fax

Practice location:
  • Phone: 914-967-5735
  • Fax: 914-967-6638
Mailing address:
  • Phone: 914-949-4706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number049174
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: