Provider Demographics
NPI:1780812818
Name:ZUMPANO, BERNARD JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:JOSEPH
Last Name:ZUMPANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BERN
Other - Middle Name:
Other - Last Name:ZUMPANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5683 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-1249
Mailing Address - Country:US
Mailing Address - Phone:305-898-9291
Mailing Address - Fax:
Practice Address - Street 1:5683 WALKER RD
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-1249
Practice Address - Country:US
Practice Address - Phone:305-898-9291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY 106284-1204C00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine