Provider Demographics
NPI:1801855036
Name:DANIEL F ZINICOLA PC
Entity Type:Organization
Organization Name:DANIEL F ZINICOLA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ZINICOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-675-8089
Mailing Address - Street 1:27 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-7871
Mailing Address - Country:US
Mailing Address - Phone:910-675-8089
Mailing Address - Fax:910-675-8103
Practice Address - Street 1:27 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NC
Practice Address - Zip Code:28457-7871
Practice Address - Country:US
Practice Address - Phone:910-675-8089
Practice Address - Fax:910-675-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0228WOtherNCBLUECROSSBLUESHIELD
NC790228WMedicaid
NC790228WMedicaid
NC=========OtherCIGNA HEALTH CARE
NC=========OtherUNITED HEALTH CARE
NC=========OtherOTHER INSURANCE
NC0228WOtherNCBLUECROSSBLUESHIELD
NC=========OtherMEDCOST
NC=========OtherWORKERS COMPENSATION