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NPI Code Detail

MEDICARE: JOHN ZARCONE, MD, PC

MEDICARE: JOHN ZARCONE, MD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician201767NY
22086S0129XVascular Surgery Physician201767NY
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician201767NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11801840509OTHERNYINDIVIDUAL NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376789073
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN ZARCONE, MD, PC
Provider Business Mailing Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-227-8346
Fax Number : 718-227-8344
Provider Business Practice Location Address
First Line : 3556 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3253
Country : US
Telephone Number : 718-227-8346
Fax Number : 718-227-8344
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN ZARCONE
Credential : MD
Telephone Number : 718-227-8346
Provider Enumeration Date : 12/30/2008
Last Update Date : 08/18/2023

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