Provider Demographics
NPI:1851423180
Name:ZARITSKY, JOEL IRWIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:IRWIN
Last Name:ZARITSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 ROUTE 55 STE C
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5052
Mailing Address - Country:US
Mailing Address - Phone:845-452-4031
Mailing Address - Fax:
Practice Address - Street 1:1133 ROUTE 55 STE C
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5052
Practice Address - Country:US
Practice Address - Phone:845-452-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042272122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist