Provider Demographics
NPI:1366535619
Name:ZWEIFLER, MARTIN STEPHEN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:STEPHEN
Last Name:ZWEIFLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARTIN
Other - Middle Name:STEPHEN
Other - Last Name:ZWEIFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:80 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-2304
Mailing Address - Country:US
Mailing Address - Phone:845-452-8550
Mailing Address - Fax:845-452-8571
Practice Address - Street 1:80 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2304
Practice Address - Country:US
Practice Address - Phone:845-452-8550
Practice Address - Fax:845-452-8571
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0278351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice