Individual
MR. VITO JAMES ZACCHEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ELLEN MEMORIAL HEALTH CARE CENTER, 23 ELLEN MEMORIAL LANE, HONESDALE, PA 18431
(570) 253-5690
(570) 253-9471
Mailing address
131 BURCHER AVE, SOUTH ABINGTON TOWNSHIP, PA 18411-9082
(570) 470-8258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP005753B
PA
363LA2200X
Adult Health Nurse Practitioner
UP005753B
PA
363LG0600X
Gerontology Nurse Practitioner
UP005753B
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
UP005753B
PA
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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