Provider Demographics
NPI:1992007413
Name:ZAMPELLA, JOHN GEORGE IV (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GEORGE
Last Name:ZAMPELLA
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 MADISON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3418
Mailing Address - Country:US
Mailing Address - Phone:646-754-2000
Mailing Address - Fax:646-754-9690
Practice Address - Street 1:555 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3418
Practice Address - Country:US
Practice Address - Phone:646-754-2000
Practice Address - Fax:646-754-9690
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-04
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289511207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty