Provider Demographics
NPI:1194993931
Name:ZARRILLI, GINA MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:MARIE
Last Name:ZARRILLI
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:110 BI COUNTY BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3943
Mailing Address - Country:US
Mailing Address - Phone:631-828-7417
Mailing Address - Fax:631-828-7494
Practice Address - Street 1:110 BI COUNTY BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3943
Practice Address - Country:US
Practice Address - Phone:631-828-7417
Practice Address - Fax:631-828-7494
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2014-03-26
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Provider Licenses
StateLicense IDTaxonomies
NY235546-1207RP1001X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400023222Medicare PIN