Provider Demographics
NPI:1285794701
Name:ZENGO, ALBERT P (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:P
Last Name:ZENGO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:2 SICKLETOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2205
Mailing Address - Country:US
Mailing Address - Phone:845-358-2271
Mailing Address - Fax:845-358-5579
Practice Address - Street 1:2 SICKLETOWN ROAD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2205
Practice Address - Country:US
Practice Address - Phone:845-358-2271
Practice Address - Fax:845-358-5579
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics