| Joseph Dominic Zollo, MD | |
|
12 Elm St, Potsdam, NY 13676-2166 | |
| (315) 265-3300 | |
| Not Available |
| Full Name | Joseph Dominic Zollo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12 Elm St, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528025863 | NPI | - | NPPES |
| 02580014 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 253749 (Massachusetts) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2114391 (New York) | Primary |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Entity Name | Massena Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Dominic Zollo, MD 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Joseph Dominic Zollo, MD 12 Elm St, Potsdam, NY 13676-2166 Ph: (315) 265-3300 |
Dr. Mariam Hasanali Asar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-261-5405 Fax: 315-261-5422 | |
Lucas Da Matta, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |