Provider Demographics
NPI:1336299346
Name:ZAFFUTO, CELESTE DOLORES (DO)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:DOLORES
Last Name:ZAFFUTO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 157TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3237
Mailing Address - Country:US
Mailing Address - Phone:646-327-9864
Mailing Address - Fax:718-746-3036
Practice Address - Street 1:1620 157TH ST
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3237
Practice Address - Country:US
Practice Address - Phone:646-327-9864
Practice Address - Fax:718-746-3036
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2040972081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH40885Medicare UPIN