Provider Demographics
NPI:1447749403
Name:ZAPPA, AURORA BIBAT (RN)
Entity Type:Individual
Prefix:MRS
First Name:AURORA
Middle Name:BIBAT
Last Name:ZAPPA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SANDS LN
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11719-9710
Mailing Address - Country:US
Mailing Address - Phone:607-778-0946
Mailing Address - Fax:
Practice Address - Street 1:24 ROBERTS ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5042
Practice Address - Country:US
Practice Address - Phone:516-293-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY419634-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health