Provider Demographics
NPI:1952129124
Name:ZITO, ALBERT THOMAS (RDH)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:THOMAS
Last Name:ZITO
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:10 FOERY DR APT 403
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-6246
Mailing Address - Country:US
Mailing Address - Phone:315-796-9047
Mailing Address - Fax:
Practice Address - Street 1:3 PARKSIDE CT BLDG 1
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5643
Practice Address - Country:US
Practice Address - Phone:315-927-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015874124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist