Doctor Name: | CHRISTOPHER ZEOLI |
NPI Number: | 1477595114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NPP |
License Number: | F400793 |
Business Practice Address: | 445 Oak St Fegs Counseling Center Copiague, NY - 117263111 |
Business Phone Number: | 6316917080 |
Business Fax Number: | |
Mailing Address: | 2 Vermont Ave, PORT JEFFERSON STATION |
State: | NY |
Postal Code: | 117766116 |
Phone Number: | 6314761410 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |