Provider Demographics
NPI:1548853823
Name:GREGORY S. ZINNI MD LLC
Entity type:Organization
Organization Name:GREGORY S. ZINNI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINNI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:330-533-3351
Mailing Address - Street 1:540 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1541
Mailing Address - Country:US
Mailing Address - Phone:330-533-3351
Mailing Address - Fax:330-533-8966
Practice Address - Street 1:540 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1541
Practice Address - Country:US
Practice Address - Phone:330-533-3351
Practice Address - Fax:330-533-8966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty