Provider Demographics
NPI:1174826978
Name:VINCENT L. ZARA,D.C.,P.C.
Entity Type:Organization
Organization Name:VINCENT L. ZARA,D.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC,PC
Authorized Official - Phone:516-352-2773
Mailing Address - Street 1:199 JERICHO TPKE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2100
Mailing Address - Country:US
Mailing Address - Phone:516-352-2773
Mailing Address - Fax:516-353-2774
Practice Address - Street 1:199 JERICHO TPKE
Practice Address - Street 2:SUITE 204
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2100
Practice Address - Country:US
Practice Address - Phone:516-352-2773
Practice Address - Fax:516-353-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX00106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty