Provider Demographics
NPI:1669509204
Name:ZUFFELATO, DAVID CARL (MED, ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CARL
Last Name:ZUFFELATO
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Gender:M
Credentials:MED, ATC
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Mailing Address - Street 1:1 JETS DR
Mailing Address - Street 2:NEW YORK JETS
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1215
Mailing Address - Country:US
Mailing Address - Phone:973-549-4702
Mailing Address - Fax:973-549-4708
Practice Address - Street 1:1 JETS DR
Practice Address - Street 2:NEW YORK JETS
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1215
Practice Address - Country:US
Practice Address - Phone:973-549-4702
Practice Address - Fax:973-549-4708
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2019-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAL 20652255A2300X
NY001452-12255A2300X
PART0069612255A2300X
NJ25MT001377002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer