Provider Demographics
NPI:1649245093
Name:PIERRI, ZIRZA A (DDS)
Entity type:Individual
Prefix:DR
First Name:ZIRZA
Middle Name:A
Last Name:PIERRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CEDAR SWAMP RD
Mailing Address - Street 2:GENERAL COSMETIC & DENTISTRY
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-3727
Mailing Address - Country:US
Mailing Address - Phone:516-759-6439
Mailing Address - Fax:516-759-3966
Practice Address - Street 1:39 CEDAR SWAMP RD
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-3727
Practice Address - Country:US
Practice Address - Phone:516-759-6439
Practice Address - Fax:516-759-3966
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0445711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01397575Medicaid