Healthcare Provider Details

I. General information

NPI: 1487595617
Provider Name (Legal Business Name): ZOCALO MEDICAL NY, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17910 CIRCLE DR
BOTHELL WA
98011-3209
US

IV. Provider business mailing address

17910 CIRCLE DR
BOTHELL WA
98011-3209
US

V. Phone/Fax

Practice location:
  • Phone: 505-280-5669
  • Fax: 833-871-4204
Mailing address:
  • Phone: 505-280-5669
  • Fax: 833-871-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM APONTE
Title or Position: SOLE PROPIETOR
Credential: MD
Phone: 505-280-5669