Provider Demographics
NPI:1407100050
Name:ZAPPI, MARCELO ERNESTO (MD)
Entity Type:Individual
Prefix:
First Name:MARCELO
Middle Name:ERNESTO
Last Name:ZAPPI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5764
Mailing Address - Country:US
Mailing Address - Phone:718-458-7400
Mailing Address - Fax:718-478-8940
Practice Address - Street 1:63-11 QUEENS BOULEVARD APT A4
Practice Address - Street 2:C/O EDUARDO ZAPPI DERMATOPATHOLOGY
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377
Practice Address - Country:US
Practice Address - Phone:718-458-7400
Practice Address - Fax:718-478-8940
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183946207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology