National Provider Identifier
Jessica Zaccour, ATC
Jessica Zaccour, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Cheektowaga, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1982215943
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- August 13, 2020
- Last Updated
- August 13, 2020
Practice Location
- 4225 Genesee St
- Cheektowaga, NY 14225-1994
Phone: (716) 204-3200
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1982215943
- Entity Type
- Individual
- Last Name
- Zaccour
- First Name
- Jessica
- Credential
- ATC
- Mailing Street Address
- 4225 Genesee St
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1994
- Mailing Country
- US
- Practice Street Address
- 4225 Genesee St
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1994
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Enumeration Date
- August 13, 2020
- Last Updated
- August 13, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)
- Other Identifiers
- 56504 (Nata), 2000020808 (Boc Atc)