Provider Demographics
NPI:1750357349
Name:PASSARETTI, ZACHARY HOBART (MD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:HOBART
Last Name:PASSARETTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1783 ROUTE 9 STE 203
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-2466
Practice Address - Country:US
Practice Address - Phone:518-383-0937
Practice Address - Fax:518-383-1865
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2024-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY165479208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01056239Medicaid
B80714Medicare UPIN
54214HMedicare PIN