Provider Demographics
NPI:1609177575
Name:ZEBUNNESSA MORAL D.D.S., PLLC
Entity Type:Organization
Organization Name:ZEBUNNESSA MORAL D.D.S., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEBUNNESSA
Authorized Official - Middle Name:HUSAIN
Authorized Official - Last Name:MORAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-742-7400
Mailing Address - Street 1:289 E 149TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5601
Mailing Address - Country:US
Mailing Address - Phone:718-742-7400
Mailing Address - Fax:718-742-7402
Practice Address - Street 1:289 E 149TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5601
Practice Address - Country:US
Practice Address - Phone:718-742-7400
Practice Address - Fax:718-742-7402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental