Healthcare Provider Details

I. General information

NPI: 1992612972
Provider Name (Legal Business Name): VINCENZO ZAPPULLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GREAVES LN BLDG SUITE
STATEN ISLAND NY
10308-2114
US

IV. Provider business mailing address

61 SEACREST AVE
STATEN ISLAND NY
10312-6514
US

V. Phone/Fax

Practice location:
  • Phone: 718-715-1076
  • Fax:
Mailing address:
  • Phone: 347-559-9447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056446
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: