Provider Demographics
NPI:1255656211
Name:ZANOTTI, LORENZO (MD)
Entity type:Individual
Prefix:DR
First Name:LORENZO
Middle Name:
Last Name:ZANOTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PRESIDENTS DR APT 4A
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2054
Mailing Address - Country:US
Mailing Address - Phone:646-244-2814
Mailing Address - Fax:
Practice Address - Street 1:6 PRESIDENTS DR APT 4A
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2054
Practice Address - Country:US
Practice Address - Phone:646-244-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2901101207R00000X
PAMD463592208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine