Healthcare Provider Details

I. General information

NPI: 1922282854
Provider Name (Legal Business Name): DAVID ZAFFINO FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 BUSINESS PARK DRIVE 1ST FLOOR
UTICA NY
13502-6313
US

IV. Provider business mailing address

116 BUSINESS PARK DRIVE 1ST FLOOR
UTICA NY
13502-6313
US

V. Phone/Fax

Practice location:
  • Phone: 315-624-7000
  • Fax: 315-793-1129
Mailing address:
  • Phone: 315-624-7000
  • Fax: 315-793-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF335250-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: