Provider Demographics
NPI:1427362532
Name:ZAMBITO, KIMBERLY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:M
Last Name:ZAMBITO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1303
Mailing Address - Country:US
Mailing Address - Phone:845-591-2425
Mailing Address - Fax:
Practice Address - Street 1:347 FULLERTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3726
Practice Address - Country:US
Practice Address - Phone:845-562-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00550601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice