Provider Demographics
NPI:1255447793
Name:ZAMBITO, ALAN JOHN (DMD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JOHN
Last Name:ZAMBITO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 FULLERTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3789
Mailing Address - Country:US
Mailing Address - Phone:845-562-7722
Mailing Address - Fax:845-562-7722
Practice Address - Street 1:357 FULLERTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3789
Practice Address - Country:US
Practice Address - Phone:845-562-7722
Practice Address - Fax:845-562-7722
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036201122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist