Provider Demographics
NPI:1932463791
Name:ZAMOR, ANDERSON (MSED)
Entity Type:Individual
Prefix:
First Name:ANDERSON
Middle Name:
Last Name:ZAMOR
Suffix:
Gender:M
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14013 248TH ST
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2135
Mailing Address - Country:US
Mailing Address - Phone:718-506-7966
Mailing Address - Fax:
Practice Address - Street 1:14013 248TH ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2135
Practice Address - Country:US
Practice Address - Phone:718-506-7966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist