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1568433225

NPI Code Detail

MEDICARE: DR. SALVATORE A. ZIENO M.D.

MEDICARE: DR. SALVATORE A. ZIENO M.D.

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
1	207Y00000X	Otolaryngology Physician	17722	NE
2	207Y00000X	Otolaryngology Physician	29480	IA
3	207Y00000X	Otolaryngology Physician	40456	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1238365	OTHER	IA	FED CONTROLLED SUBSTANCE
2	1238365	OTHER	IA	ST CONT SUBSTANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	94583	OTHER	IA	BLUE CROSS BLUE SHIELD
5	BZ1604621N	OTHER	NE	ST CONT SUBSTANCE
6	00652	OTHER	NE	BLUE CROSS BLUE SHIELD
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568433225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALVATORE A. ZIENO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3439
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-0439
Country	:	US
Telephone Number	:	843-839-4447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3361 HIGHWAY 9 E
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-7826
Country	:	US
Telephone Number	:	843-497-5929
Fax Number	:	866-778-9612

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	07/28/2023

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Directions to “ DR. SALVATORE A. ZIENO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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