MEDICARE: DR. JENNEL ZEPPIERI 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	207RH0003X	Hematology & Oncology Physician	324873-01	NY

General Provider Information

NPI Number	:	1639546484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNEL ZEPPIERI M.D,

Provider Business Mailing Address
First Line	:	1228 MADISON AVE APT 7
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-0588
Country	:	US
Telephone Number	:	646-770-7462
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 JACKSON AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-2920
Country	:	US
Telephone Number	:	646-770-7462
Fax Number	:

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

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	02/02/2026

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