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NPI Code Detail

MEDICARE: MR. MARLEY DIMITRI ZUNIGA LPN

MEDICARE: MR. MARLEY DIMITRI ZUNIGA LPN
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
1164W00000XLicensed Practical Nurse35385301NY

General Provider Information

NPI Number : 1619831328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARLEY DIMITRI ZUNIGA LPN
Provider Business Mailing Address
First Line : 12 DEWINDT ST FL 2
Second Line :
City : BEACON
State : NY
Zip : 12508-2712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 41 CASTLE POINT RD
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7004
Country : US
Telephone Number : 845-831-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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