Healthcare Provider Details

I. General information

NPI: 1538287529
Provider Name (Legal Business Name): GREGORY ZAPANTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S OYSTER BAY RD
SYOSSET NY
11791-6229
US

IV. Provider business mailing address

300 S OYSTER BAY RD
SYOSSET NY
11791-6229
US

V. Phone/Fax

Practice location:
  • Phone: 516-605-2626
  • Fax: 516-605-2624
Mailing address:
  • Phone: 516-605-2626
  • Fax: 516-605-2624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number220304
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: