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NPI 1407100050

NPI 1407100050 : MARCELO ERNESTO ZAPPI M.D. : WOODSIDE, NY

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General NPI Number Information
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    NPI Number           |    1407100050
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    Entity Type          |    Individual 
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    Provider Name        |    MARCELO ERNESTO ZAPPI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/05/2012
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    Last Update Date     |    05/27/2021
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Provider Practice Location Address
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    Address Line         |    63-11 QUEENS BOULEVARD APT A4 C/O EDUARDO ZAPPI DERMATOPATHOLOGY
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    City                 |    WOODSIDE
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    State                |    NY
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    Zip                  |    11377
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    Country              |    US
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    Telephone            |    718-458-7400
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    Fax                  |    718-478-8940
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Provider Business Mailing Address
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    Address Line         |    6311 QUEENS BLVD 
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    City                 |    WOODSIDE
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    State                |    NY
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    Zip                  |    11377-5764
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    Country              |    US
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    Telephone            |    718-458-7400
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    Fax                  |    718-478-8940
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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        |    207ZD0900X
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    Taxonomy Name        |    Dermatopathology (Pathology) Physician
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    License Number       |    183946
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    License Number State |    NY
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