Basic Information
Provider Information
NPI: 1194993931
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZARRILLI
FirstName: GINA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 110 BI COUNTY BLVD
Address2: SUITE 114
City: FARMINGDALE
State: NY
PostalCode: 117353943
CountryCode: US
TelephoneNumber: 6318287417
FaxNumber: 6318287494
Practice Location
Address1: 110 BI COUNTY BLVD
Address2: SUITE 114
City: FARMINGDALE
State: NY
PostalCode: 117353943
CountryCode: US
TelephoneNumber: 6318287417
FaxNumber: 6318287494
Other Information
ProviderEnumerationDate: 02/14/2008
LastUpdateDate: 03/26/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X235546-1NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RH0002X235546-1NYN Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


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