Zachary Bevilacqua

Individual provider Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1003459975

Zachary Bevilacqua is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in: NY
In the registry since: 2019

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Practice location Address checks out

123 Medallion Cir
Rochester, NY 14626-3242
Phone: (585) 313-4608

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Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary)	Taxonomy 204C00000X · Licence 002336 (NY)

Record details

NPI number	1003459975
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	October 23, 2019
Last updated in NPPES	October 23, 2019
Mailing address	123 Medallion Cir, Rochester, NY 14626-3242