| Doctor Name: | MR. JEFFREY JOHN ZOTTA |
| NPI Number: | 1548280100 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPAC |
| License Number: | 004930 |
| Business Practice Address: | 2184 S Shore Rd Hadley, NY - 128353601 |
| Business Phone Number: | 5188632749 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1393, NORTHVILLE |
| State: | NY |
| Postal Code: | 121341393 |
| Phone Number: | 5188632749 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 004930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |