Vivian Zacch
Nurse Practitioner, Psych/Mental Health in Pomona, NY. Individual provider (NPI-1).
NPI number1164093241
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1164093241
- Entity type
- Individual (NPI-1)
- Name
- Vivian Zacch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2021
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | F403432 | NY | Yes |
Practice location
2 Ossman DrPomona, NY 10970-2654
Phone 646-281-5256
Mailing address
2 Ossman DrPomona, NY 10970-2654
Phone 646-281-5256
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