Provider Demographics
NPI:1447343538
Name:ZEINES, VICTOR (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:ZEINES
Suffix:
Gender:M
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:PO BOX 195
Mailing Address - Street 2:3103 RT 28
Mailing Address - City:SHAKAN
Mailing Address - State:NY
Mailing Address - Zip Code:12481
Mailing Address - Country:US
Mailing Address - Phone:845-657-2322
Mailing Address - Fax:845-657-6612
Practice Address - Street 1:3103 RT 28
Practice Address - Street 2:
Practice Address - City:SHAKAN
Practice Address - State:NY
Practice Address - Zip Code:12481
Practice Address - Country:US
Practice Address - Phone:845-657-2322
Practice Address - Fax:845-657-6612
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY500286161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice