Individual
GREGORY ZACARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
17 WIMBLEDON DR, ROSLYN, NY 11576-3083
(151) 683-0022
Mailing address
79-25 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427, QUEENS VILLAGE, NY 11427
(718) 264-4461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86088710
NY
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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