Provider Demographics
NPI:1073708038
Name:ZAGAMI, JOSEPH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:ZAGAMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W 58TH ST STE 605
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1817
Mailing Address - Country:US
Mailing Address - Phone:212-586-3585
Mailing Address - Fax:212-333-7998
Practice Address - Street 1:330 W 58TH ST STE 605
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1817
Practice Address - Country:US
Practice Address - Phone:212-586-3585
Practice Address - Fax:212-333-7998
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040209-21223P0700X
NJ22D1024900001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics