National Provider Identifier
Zachary Bevilacqua
Zachary Bevilacqua is listed in the NPPES registry with a primary specialty of Sports Medicine (Neuromusculoskeletal Medicine) Physician in Rochester, NY and a listed phone number of (585) 313-4608.
Profile Overview
- NPI
- 1003459975
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Enumeration Date
- October 23, 2019
- Last Updated
- October 23, 2019
Practice Location
- 123 Medallion Cir
- Rochester, NY 14626-3242
Phone: (585) 313-4608
Specialties
- Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X)
Full Record
- NPI
- 1003459975
- Entity Type
- Individual
- Last Name
- Bevilacqua
- First Name
- Zachary
- Provider Other Last Name
- Bevilacqua
- Provider Other First Name
- Zachary
- Provider Other Credential Text
- ATC
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 123 Medallion Cir
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-3242
- Mailing Country
- US
- Practice Street Address
- 123 Medallion Cir
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-3242
- Practice Country
- US
- Practice Phone
- (585) 313-4608
- Enumeration Date
- October 23, 2019
- Last Updated
- October 23, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X)