MEDICARE: DR. CANDICE BENAY ZEMNICK DMD, MPH, MS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	050171	NY
2	1223P0700X	Prosthodontics	050171	NY

General Provider Information

NPI Number	:	1750565289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CANDICE BENAY ZEMNICK DMD, MPH, MS

Provider Business Mailing Address
First Line	:	52 YONKERS TER
Second Line	:	APT. 3F
City	:	YONKERS
State	:	NY
Zip	:	10704-3334
Country	:	US
Telephone Number	:	914-843-4198
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 W 168TH ST
Second Line	:	PH EAST, 7TH FLOOR, RM 121A
City	:	NEW YORK
State	:	NY
Zip	:	10032-3725
Country	:	US
Telephone Number	:	212-305-0698
Fax Number	:	212-305-8493

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

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	02/02/2026

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