Provider Demographics
NPI:1952011835
Name:ZEPPIERI, IRENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:ZEPPIERI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:FABRIZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:107 TULLAMORE RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2511
Mailing Address - Country:US
Mailing Address - Phone:516-946-9628
Mailing Address - Fax:
Practice Address - Street 1:1705 BROADWAY STE 2
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1600
Practice Address - Country:US
Practice Address - Phone:516-946-9628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0498721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics