Provider Demographics
NPI:1093506685
Name:ZAPATA, RICHARD ALEN
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALEN
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LOCUST AVE E
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3812
Mailing Address - Country:US
Mailing Address - Phone:516-728-6032
Mailing Address - Fax:
Practice Address - Street 1:5 LOCUST AVE E
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3812
Practice Address - Country:US
Practice Address - Phone:516-728-6032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program