Healthcare Provider Details

I. General information

NPI: 1215010111
Provider Name (Legal Business Name): DR. JOSEPH F. ZENO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8580 SOUTH AVE
YOUNGSTOWN OH
44514-3693
US

IV. Provider business mailing address

8580 SOUTH AVE
YOUNGSTOWN OH
44514-3693
US

V. Phone/Fax

Practice location:
  • Phone: 330-758-2303
  • Fax: 330-758-5548
Mailing address:
  • Phone: 330-758-2303
  • Fax: 330-758-5548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34006455Z
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP09022
License Number StateOH

VIII. Authorized Official

Name: JOSEPH F. ZENO
Title or Position: PRESIDENT
Credential: D.O.
Phone: 330-758-2303