Individual
VIVIAN ZACCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 OSSMAN DR, POMONA, NY 10970-2654
(646) 281-5256
Mailing address
2 OSSMAN DR, POMONA, NY 10970-2654
(646) 281-5256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403432
NY
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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