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General NPI Number Information
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NPI Number | 1003112947
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Entity Type | Individual
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Provider Name | BRIAN THOMAS ZAFONTE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 4 FULLER ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1391
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Country | US
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Telephone | 315-482-1251
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Fax | 315-482-4847
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Provider Business Mailing Address
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Address Line | 3811 SPRING ST SUITE 102
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City | MOUNT PLEASANT
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State | WI
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Zip | 53405-1667
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Country | US
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Telephone | 262-687-5800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 312647
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 312647
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License Number State | NY
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