ZACHARY BEVILACQUA NPI 1003459975

NPI Information

NPI: 1003459975
Provider Name: ZACHARY BEVILACQUA
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
123 MEDALLION CIR
ROCHESTER, NY
ZIP 14626
Phone: (585) 313-4608
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Zachary Bevilacqua is a neuromusculoskeletal medicine sports medicine in Rochester, NY. The provider is definition to come. Zachary Bevilacqua NPI is 1003459975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 MEDALLION CIR
ROCHESTER, NY
ZIP 14626-242
Phone: (585) 313-4608

The enumeration date for this NPI number is 10/23/2019 and was last updated on 10/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		002336	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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