Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Vivenzo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558001164

Zachary Vivenzo is a Student in an Organized Health Care Education/Training Program in Binghamton, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

169 Riverside Dr
Binghamton, NY 13905-4246
Phone: (607) 798-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558001164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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