Provider Demographics
NPI:1316070295
Name:ZIELINSKI, MARZENNA BARBARA (DDS)
Entity type:Individual
Prefix:
First Name:MARZENNA
Middle Name:BARBARA
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 BLVD EAST
Mailing Address - Street 2:#17E
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093
Mailing Address - Country:US
Mailing Address - Phone:201-854-3366
Mailing Address - Fax:
Practice Address - Street 1:45 RIVINGTON STREET
Practice Address - Street 2:RIVINGTON HOUSE
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-539-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0490961122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01767202Medicaid
NY01767202Medicaid