Provider Demographics
NPI:1053509034
Name:ZAMPELLA, DANA ROBIN (MACOM DIPL- LAC)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:ROBIN
Last Name:ZAMPELLA
Suffix:
Gender:F
Credentials:MACOM DIPL- LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2041
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10949-8541
Mailing Address - Country:US
Mailing Address - Phone:845-492-0037
Mailing Address - Fax:845-783-6445
Practice Address - Street 1:2002 ROUTE 17M STE 1
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-5236
Practice Address - Country:US
Practice Address - Phone:845-492-0037
Practice Address - Fax:845-360-5591
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003783-01171100000X
NY003683-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist