Provider Demographics
NPI:1831622133
Name:ZAMORA, ADRIANA (DDS)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ZAMORA
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 1:151 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3851
Mailing Address - Country:US
Mailing Address - Phone:845-637-3927
Mailing Address - Fax:
Practice Address - Street 1:395 BLANCH AVE
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1402
Practice Address - Country:US
Practice Address - Phone:786-606-4624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program