Provider Demographics
NPI:1942885462
Name:ZAMBRANO DIFIORE, REGINA (DO)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:ZAMBRANO DIFIORE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:
Other - Last Name:ZAMBRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7901 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3972
Mailing Address - Country:US
Mailing Address - Phone:718-491-5800
Mailing Address - Fax:718-748-2151
Practice Address - Street 1:7901 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3972
Practice Address - Country:US
Practice Address - Phone:718-491-5800
Practice Address - Fax:718-748-2151
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY318941207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program